MAIL ORDER VIDEO FORM

To order through fax, print this form and fax to: 412 441 6311. 

To order through the mail, print this form and send to: MIB POB 42430 Pittsburgh PA 15203 USA

To order over the phone call 412 362 6883 with your name, address, cc information and a list of titles.

I will receive an automatic notification that your order has been placed and will personally call you confirming such.

Please note that I will not call you back unless you are actually making an order.

To ask questions about DVDs, send email.

 

VIDEOS ARE FOR LEGAL ADULTS ONLY By signing this form I am stating that I am over 18 years of age and am aware that this is adult material with bondage and discipline themes. I am also aware of my local laws and am taking full responsibility and liability for contents. Signature:                                                                                           Date:   I certify that I am over 18 years of age and am aware that this is adult material with bondage and discipline themes. I am aware of my local laws and am taking full responsibility and liability for contents Full length DVDs and VHS tapes are are 49.95 each   Write the complete name(s) of the DVD(s) or VHS tapes you would like to order here:                           Name: Address: City, State, Zip: Country: Phone number: If this is a credit card order, enter the number _______    _______    _______    _______  exp. date _______   _______ security code on the back of your card:   If this is a check or money order, make it payable to MIB Productions.      Do not send cash.   Total: __________ Shipping total: __________          USA - $10.00       Outside USA - $15.00 Grand Total: __________ Mail to: MIB POB 42430 Pittsburgh PA 15203 USA

DVDs are shipped in plain containers!