ORDER FORM: Video Profile
 
  
Name _______________________________ 

Address ______________________________ 

City __________________ St _____   Zip ______ 

e-mail (we'll notify when videos ship): _____________________ 
 
___________________________ 
              Sign Over 18 
        (videos contain extensive frontal nudity)
 
Charles Emory Video Profile (80 min.).........$23.95
Charles Emory Playgirl Photoshoot (90 m) $33.95
Shipping ($3 first 2 tapes, $1 ea additon.)
Total
 ________
________
________
________
 
Method of Payment: 
(  ) Check 
(  ) Money Order 
(  ) Cash
Mail to:
R.L. King
P.O. Box 30111
Phoenix, AZ
85046-0111
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