Order Form

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High Society Video Order Form

All checks and money orders must be payable to George Salgado. Each video tape is $10, unless otherwise noted in the tape description! Shipping rates are listed on the orders link found on the main page. Please list your shipping method on the order form.

	VIDEO TAPE	QUANTITY	PRICE
01			$
02			$
03			$
04			$
05			$
06			$
07			$
08			$
09			$
10			$
11			$
12			$
13			$
14			$
15			$

Please make checks or money orders payable to: George Salgado

Mail all orders to:
High Society Video
409 S. Malden
Fullerton, CA 92832

Subtotal: $

Shipping Fee: $

Total: $

Don't Forget To Include Your Address:

Name:__________________________________________

Street:__________________________________________

City, State, Zip Code:______________________________