SURFACE ORDER FORM AND INFORMATION
BND Enterprises
PMB 143
1700 Sullivan Trail
Easton, PA 18040-8333, USA
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Please use this form if you wish to pay by personal check, money order. To print this form, simply click on your "Print" feature. Fill out this form and mail it to the above address with payment. Orders filled within 48 business hours (excluding weekends) unless pmt. is by personal check in which case orders held until check clears.
Make Checks payable to BND Enterprises.
PLEASE PRINT CLEARLY IF WE CAN'T READ INFORMATION WE WILL NOT SHIP THE MATERIAL.

First Name:__________________ Last Name:____________________________________

Street Address: ____________________________________________________________

City:_________________________________________ State:________ Zip:__________

Email Address: _________________________________________

Signature (REQUIRED):__________________________________________________
By ordering this material, I certify that I am at least 21 years old. I am aware that you are sending me sexually oriented material which is only for my use and will not be resold or in any way be distributed -- especially to minors.

Please send the following items. (List I.D. Letters and Numbers i.e.: DH14, DH15, MJX13, etc.)
Item: ___________________________ Price _____________
Item: ___________________________ Price _____________
Item: ___________________________ Price _____________
Item: ___________________________ Price _____________
___________________________ Sub-Total: _____________
________PA RESIDENTS ADD 6.00% Tax: _____________
_______________________________P&H: _____________ (see Shipping Costs, below)
_________Total of Order and Amt. Enclosed: _____________ (Make check/money order for this amount)

Format: VHS_______ PAL_______ DVD______ (Note: VHS sent unless otherwise noted)

Shipping Costs: U.S. $5.00 PER ORDER; Canada $4.00 per TAPE; OVERSEAS $8.00 for the first tape, $5.00 each additional tape.
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