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Billing Information

Name
Address
City State
Zip
Phone #
E-mail Address

Shipping Information
(If different than Billing Information)

Name
Address
City State
Zip
Phone #

Product Name	Quantity	Price
Example:
Lauren Bacall Autograph	1	$60
Tommy Lee Sexy Photo #1	1	$15
Keanu Reeves Sexy Photo #5	1	$15

Payment Method

All charges will be billed directly to your credit card. Sales tax will be added for residents of California. All orders within the US will be charged $4 for Priority Mail shipping and handling. Shipping outside the US will vary.

Mastercard Visa American Express Discover
Account Number:

Expiration Date:


Check to be sure that ALL information is correct

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