Just print or copy the form below, with the complete disclaimer, add your signature and date of birth.
Order it with your credit card, or add your check or money order* and mail it in! In no time at all I can be yours!
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LIST OF ITEMS

PRICES

UNIT

TOTAL

One Month Membership
No handling, no shipping, no taxes
$19.99   =$
Two Month Membership
No handling, no shipping, no taxes
$29.99   =$
Six Month Membership + Six month free (total a year!)
No handling, no shipping, no taxes
$119.99   =$
Autographed "Rebecca's Naughty Home Video "
Specify the one you want:
$69.00 X =$
Autographed "Private Vignettes #1" $39.00 X =$
Autographed Video Tape
Specify the one you want:
$39.00 X =$
Autographed Videos. Buy 3, pay 2!
Specify the tapes you want:
$78.00 X =$
Autographed PURE SEX Volume 1 $49.00 X =$
Autographed PURE SEX Volume 2 $49.00 X =$
Autographed PURE SEX Volume 1&2 $89.00 X =$
Autographed MY FIRST DP $59.00 X =$
Autographed Gang Bang 14 $49.00 X =$
Autographed First Anal Tape $59.00 X =$
SPECIAL OF THE MONTH: $55.00 X =$
Autographed DVD "PURE MASTURBATIONS" $39.00 X =$
Autographed DVD "Pure Sex, Vol.1"
OUT OF STOCK
$59.00 X =$
Autographed DVD $59
Specify the tapes you want:
$59.00 X =$
Autographed DVD $49
Specify the tapes you want:
$49.00 X =$
Custom Video: BLOW JOB 20mn. $199.00 X =$
Custom Video: Masturbation 20mn. $129.00 X =$
Custom Video: Mast. 20mn. with toys $149.00 X =$
Custom Video: Masturbation 20mn. Anal $199.00 X =$
Custom Video: Masturbation 20mn. DP $249.00 X =$
Bondage Vids: Torment (ANY NUMBER) $59.00 X =$
Bondage Vids: On the Edge (ANY NUMBER) $59.00 X =$
Bondage Vids Combo of TWO Please specify $89.00 X =$
Bondage Vids Combo of THREE Please specify $119.00 X =$
Custom 8x10 SOFT $29.00 X =$
TWO Custom 8x10 SOFT $49.00 X =$
8x10 HARD $20.00 X =$
TWO 8x10 HARD $30.00 X =$
4x5 Harcore Pics x10 $49.00 X =$
POLAROIDS x1 $15.00 X =$
POLAROIDS x2 $25.00 X =$
POLAROIDS x3 $35.00 X =$
POLAROIDS x5 $50.00 X =$
Magazine Layout $19.00 X =$
Magazine Layout x2 $29.00 X =$
Comic Books x2 $19.00 X =$
Trading Cards $9.00 X =$
Trading Cards x3 $19.00 X =$
Trading Cards x5 $29.00 X =$
Panties $25.00 X =$
Panties x2 $35.00 X =$
Bra $35.00 X =$
Garter Belt $45.00 X =$
Stockings $12.00 X =$
Stockings x2 $19.00 X =$
Pantyhose $17.00 X =$
Pantyhose x2 $29.00 X =$
Hi Heels Shoes $69.00 X =$
Live Phone Sex 30 mins
No handling, no shipping, no taxes
$59.00 X =$
Live Phone Sex 100 mins
No handling, no shipping, no taxes
$169.00 X =$
Live Phone Sex 200 mins
No handling, no shipping, no taxes
$299.00 X =$
Live Phone Sex 500 mins
No handling, no shipping, no taxes
$599.00 X =$
Anything I forgot to list here! Heehee! $ X =$
Advance Fees for Photo or Videoshoot & Private Show (money order only!)
NO CREDIT CARD ACCEPTED
$500.00 X =
To be paid separate from the rest. No taxes!
MEMBERS OF THE PAY SECTION
Take 10% off your order
(Not for Special order)
$ $ $
       

SUB TOTAL

$ $ $
Add $5 for Handling, under $99
Add $10 for Handling, over $99
$ $ $
8.25% Taxes for California Resident $ subtotal X 8.25% =$
Shipping for Continental US for 1 tape $6.95 $ =$
Shipping for Continental US for 2 tape $7.95 $ =$
Shipping for Continental US for 3 tapes $9.95 $ =$
Shipping for Continental US for 4 tapes $10.95 $ =$
Shipping for Continental US for 5 tapes $11.95 $ =$
Shipping for US Islands/Canada 1 or 2 tapes $9.95 $ =$
Shipping for US Islands/Canada 3 to 5 tapes $16.95 $ =$
Express Delivery US, 1 or 2 tapes $18.95 $ =$
Express Delivery US, 3 to 5 tapes $25.95 $ =$

TOTAL

$ $ $




Rebecca, Please send me my order ASAP

Make payments payable to Rebecca Lord Productions. All others will be returned.




Name: ___________________________________________ Date of Birth: ____/____/____

Address: __________________________________________________________________

City-State-Zip: ______________________________________________________________

Country (If other than USA): ___________________________________________________

Phone #: ______ - ______ - __________

E-mail address (required for payment with Credit Card)___________________________

Credit Card #: __________________________________________ Exp.date:____________________


I certify that I am an adult over the age of 18. I understand that the material I am requesting
is of a sexually explicit nature and further, that requesting these materials will
not violate any of my local community standards.

I am not a member of any type of law enforcement, local, federal or postal and am not
working in concert with same. I am requesting these materials for my own personal use.

I will not display these materials to minors.




Signature (required): __________________________________________ Date: ____________







Send your order to:


Rebecca Lord Productions
16161 Ventura Blvd. #374
Encino, CA, 91436
U S A



*Delays may varie. Of course, if paid by credit Card, delays are usually shorter!
If you didn't receive your order in those delays, please mail or e-mail me asap.
Rebecca Lord cannot be held responsible in any way if your order has not been processed in those delays.