ORDER FORM: Video Profiles
Name:
Address:
 City:  St:  Zip:
E-Mail:(we'll notify when videos ship)
 
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Sign Over 18 (videos contain extensive frontal nudity)
 
Charles Emory Video Profile (80 min.)   $19.95
Charles Emory Playgirl Photoshoot (90 min.)   $19.95
Shipping   ($3.00)
Total
 
Method of Payment: 
Check 
Money Order 
Cash
Send Order to: R.L. King
c/o Daniel Alan
P.O. Box 2457
Beverly Hills, CA 90213
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