Video Order form

PRINT THIS PAGE AND USE IT AS YOUR MAIL ORDER FORM,IF YOU DO NOT HAVE A PRINTER
YOU CAN WRITE OUT YOUR ORDER ON PAPER.

THESE VIDEOS ARE INTENDED FOR ADULTS ONLY

 I understand that to order adult videos on this site i must be an adult 18 years of age or older.
   
All Videos are $25.00 each which includes shipping and handling.(Overseas orders please add $6.00)     
We accept  Money orders and checks (Checks can delay order from 7 to 10 days to clear)

Make payable to TONY PACE
Address is:

Tony Pace
5 Quarry Rd.
Napanoch,NY 12458

Name:_______________________________________

Address:______________________________________

City:_______________________State:_______________________Zip:______________

Signature:___________________Age:______________

Which format would you like circle one.

Please send me the following videos in VHS
                                    
Please send me the following videos in DVD

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