GRM
c/o Dominic Wolfe Ent.
PO Box 5323
La Quinta Ca 92248

NOT FOR PHOTO SITE MEMBERSHIPS

           
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                                TITLE                                        ID (IF KNOWN)
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Please Circle Desired Format ( DVD sent by default)

VHS / DVD / DVD - no graphics cover

Shipping Fee:  
US - Priority Mail - $4.95 per order US ONLY
US - First Class - $2.95
Canada/Mexico - $3.95 per order
Overseas - $3.50 First DVD, + 1.25 each addtional DVD

CA Residents Add 8.75% sales tax

TOTAL_________

CREDIT CARDS NOT ACCEPTED VIA SURFACE MAIL
PLEASE USE THE ON-LINE SHOPPING CART FOR CREDIT CARD ORDERS

PAYMENT OPTIONS: check one

    ____Cash    ____Money Order   ____Check   

Checks payable to "GRM PRODUCTIONS"    

I hereby certify that I am 18 years of age or older and aware that you are sending sexually-oriented
material which is for my own individual use and will not be resold, copied, or in any way distributed by me, including to minors. 
I further state and agree that this material complies with my local community standards.

SIGNATURE___________________________________________ Date___________ (Required for ALL orders)