Please enter your Billing and Shipping information below and Print this page.

If you would like to buy either:
- video #1 (VHS NTSC or DVD format) 
or
- video #2 the newest DVD 

please follow the instructions below. All sales are final, replacement only

You can fill in this form in your browser and then PRINT it using the browser. 

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If you print by hand Please print clearly!!! 
If I can't read your handwriting, I will hold the order until you contact me


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Items Purchased

Please circle your selection if ordering only one video

Item ID
Product
Qty
Price
Total
VIDEO1  EliseErotic's Leg Dreams Video 1
VHS tape- NTSC Format
1   $34.95  $34.95
VIDEO1  EliseErotic's Leg Dreams Video 1
 DVD Format
1   $34.95  $34.95
         
         
VIDEO2  EliseErotic's newest DVD
 Video 2
1   $34.95  $34.95
   
Add 8.25% Tax if shipped to California ($2.88)  

Shipping and Handling 

Inside U.S.A. 
Outside U.S.A  

 

........................$6.00
........................$8.00

Total Purchased     

 $

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Mail order form and payment to:
EliseOnline
PO 237
Brunswick, TN 38014