CINDY CUPPS ORDER FORM

YOUR NAME (PLEASE PRINT) _____________________

YOUR SHIPPING ADDRESS__________________________

_________________________________________

YOUR EMAIL (in case we need to contact you)

__________________________________________

COMMENTS OR SPECIAL INSTRUCTIONS FOR SHIPPING

__________________________________

CITY______________STATE______________ZIP________________

I AM OVER 18 YEARS OF AGE ________________________________ (SIGN PLEASE)


Please make money order payable to
VT Vision

SEND ORDER FORM TO

VT VISION
P.O. BOX 540102
GREENACRES, FLORIDA 33454 - 0102

ALLOW 3-4 WEEKS FOR DELIVERY

ITEMS
PRICE
NUMBER SIGNED TOTAL
++++++++++++++++++++++++++++++++++++++
Tits & Tugs $40.00 $
Ultimate Summer Sinn $40.00 $
Busty Dildo Lovers 5 $40.00 $
Boob Talk & Score Brabusters $40.00 $
Busty Dildo Lovers $40.00 $
++++++++++++++++++++++++++++++++++++++
MAGAZINES
HUSTLER BUSTY $10.00
SCORE JANUARY 2000 $15.00 $Sold Out
SCORE JULY 2001 $15.00 $Sold Out
SCORE NOVEMBER 2001 $15.00 $Sold Out
SCORE DECEMBER 2001 $15.00 $Sold Out
SCORE JULY 2002 $15.00 $
SCORE JANUARY 2003 $15.00 $
SCORE AUGUST 2003 $15.00 $
SCORE OCTOBER 2003 $15.00 $
SCORE APRIL 2004 $15.00 $
SCORE MARCH 2005 $15.00 $
SCORE HOLIDAY 2005 $15.00 $Sold Out
SCORE APRIL 2006 $15.00 $
SCORE AUGUST 2006 $15.00 $
SCORE AUGUST 2007 $15.00 $
SCORE NOVEMBER 2007 $15.00 $
+++++++++++++++++++++++++++++++++++++++
8 X 10 PHOTOS
NUMBER 1 nude on pink $10.00 $
NUMBER 2 bra at pump $10.00 $
NUMBER 3 nude at pump $10.00 $
NUMBER 4 in pool $10.00 $
NUMBER 5 whipped cream $10.00 $
NUMBER 6 hot tub $10.00 $
+++++++++++++++++++++++++++++++++++++++
CLOTHING
BRAS $50.00 $
PANTIES WASHED $25.00 $
PANTIES UNWASHED $25.00 $
STOCKINGS WASHED $20.00 $
STOCKINGS UNWASHED $20.00 $
SHOES $50.00 $
+++++++++++++++++++++++++++++++++++++++
POLAROIDS (set of 2)
CLOTHED $20.00 $
TOPLESS $25.00 $
NUDE $30.00 $
SUBTOTAL -----------
$
U.S. ORDER UNDER $40 SHIPPING & HANDLING Add $3.50 -----------
$
U.S. ORDER OVER $40 SHIPPING & HANDLING
FREE-
INTERNATIONAL ORDER - S&H ADD $10
TOTAL------------
$