Maxi Mounds Product Order Form
ITEM
PRICE
TOTAL
#1. Autographed 8x10's (order by
number) #_________
$10.00
_________
#2. 16 x 20 Color
Poster
$20.00
_________
(specify bikini or topless)
#3. T-Shirts
$20.00
_________
#4. Used
Stockings
$30.00
_________
#5. Used Panties (Temporarily Out Of Stock) $30.00 _________
#6. Used Bras (Temporarily Out Of Stock) $75.00 _________
#7. Mouse Pads (order by
number) #_______
$12.00
_________
#8. Coolie Can Wraps (order by
number) #_______
$12.00
_________
#9. Score Magazines (month)_________________ $10.00 _________
#10. D-Cup November 2003 $10.00 _________
#11. Buxotica Magazine $10.00 ________
#12. The Maxi Mounds Guide To The World Of Exotic Dancing
$17.95
________
#13. Maxi Mounds Home Videos
#1 DVD Only
$25.00
_________
#14. Maxi Mounds Home Videos #2 DVD Only $25.00 _________
#15. Maxi Mounds Home Videos #3 DVD Only $25.00 _________
#16. On Stage With Maxi Mounds! DVD Only $25.00 _________
#17. Score's Boob Cruise 2000 DVD Only $30.00 _________
#18. Napali's Max-Out! DVD - $20.00 VHS - $15.00 _________
#19. Score's Busty Auditions 2 VHS Only $15.00 _________
#20. Score's Mega Boob Olympics DVD - $30.00 VHS - $15.00 _________
#21. Phone Sex With Maxi Video DVD Only $25.00 _________
#22. Maxi In Bondage Video DVD Only $25.00 _________
#23. Napali's Monumental Mams DVD - $20.00 VHS - $15.00 _________
#24. Napali's The Milking of Minka DVD Only $20.00 _________
#25. Maxi & Kayla's Big Boob Toy Story DVD Only $30.00 _________
#26. Maxi & Kayla's Big Boob Toy Story 2 DVD Only $30.00 ________
#27. Maxi Wet&Wild Video DVD Only $25.00 _________
#28. Maxi - Private Dancer Video DVD Only $25.00 _________
#29. Multi-O Maxi Video DVD Only $25.00 ________
#30. Maxi's Lingerie Show DVD Only $25.00 ________
#31. Battle Of The Huge Ones DVD - $20.00 VHS - $15.00 ________
#32. Battle Of The Big Ones DVD Only $20.00 ________
#33. Score Classics #2 DVD Only $30.00 ________
#34. Maxi's Vegas Vacation DVD Only $25.00 ________
#35. Bound For Pleasure DVD Only $25.00 ________
#36. The Lost Score Video DVD Only $20.00 ________
#37. Bound For Pleasure 2 DVD Only $25.00 ________
#38. On The Road With Maxi DVD Only $25.00 ________
#39. Toy Time DVD Only $25.00 ________
#40. Bra Buster DVD Only $25.00 ________
#41. Missionary Impossible DVD Only $30.00 ________
#42. Hardcore Maxi DVD Only $25.00 ________
#43. Talkin' Dirty DVD Only $25.00 ________
#44. Teacher's Pet DVD Only $25.00 ________
#45. Hard At Work DVD Only $25.00 ________
#46. Just You & Me DVD Only $25.00 ________
#47. Bustin' Out! DVD Only $25.00 ________
#48. Stripper! DVD Only $25.00 ________
#49. Maxi's Fetish Fest DVD Only $35.00 ________
#50. Sugar & Spice DVD Only $25.00 ________
#51. Stageside! DVD Only $30.00 ________
#52. The Wetter The Better DVD Only $30.00 ________
#53. Secret Pleasures-Date Night DVD Only $25.00 ________
#54. Rich Bitch DVD Only $25.00 ________
#55. Dress-Up Maxi DVD Only $30.00 ________
#56. Talkin' Dirty 2 DVD Only $30.00 ________
#57. The Teacher DVD Only $30.00 ________
#58. Secret Pleasures 2-Meeting Maxi DVD Only $30.00 ________
Please circle your choice of VHS or DVD if needed.
Underlined items are limited quantity and subject to availability
Subtotal:
___________
(Florida residents Must add 8% sales tax)
___________
Shipping Charge:
$6.00 for 1st item
$1.00 for each additional item
___________
Overseas orders add $5.00
Total Enclosed: ___________
If you'd prefer to pay by credit
card please complete the following:
__MC
__Visa
__Discover __AMEX
Card Number:________________________________ Exp.
Date:_________
Please provide Security Code (Last 3 Digits Above Signature):_________
American Express Cardholders enter the 4 digits above card number
here:___________
Credit Card Orders Will Not Be
Processed Without A Signature And Security Code
You must provide the exact credit card billing address in addition to the
shipping address if the two are different.
Orders paid with credit card, cash or money order are shipped within
3 business
days.
If paying by personal check, please allow 2 weeks for your check to clear. Checks and Money orders
should be made
payable to Mounds Productions. Personal clothing items may be delayed due to my touring schedule but will
be
shipped as soon as possible.
Special Shipping, Autograph, or other
instructions:_____________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Ship To:
Name:_______________________________________________________
Address:_____________________________________________________
City:_________________________________________________________
State:________________________________________________________
Province/Country:______________________________________________
Zip Code:_____________________________________________________
Email Address (optional):________________________________________
Please sign the statement below or your order CANNOT be shipped.
I hereby certify that I am an adult of legal age to order
adult entertainment products in the County, State,
and Country in which I
reside. I also certify that I am ordering these products for my own use and will
NOT
allow any minor to access them.
I understand that unauthorized duplication of copyrighted materials is a violation of
Federal
and International law. I further certify that I am not ordering these products
for the purpose of entrapment or in the
course of any legal investigation or
prosecution. I understand that all sales are final and Mounds Productions will
not be
held liable for any customs seizures.
(Signed)______________________________________________________
Printed Name________________________________________________
Age________ Today's Date______________________
Send this completed form with your payment to:
Mounds Productions
P.O. Box 484
Englewood, Fla. 34295
Thanks for your order!