| 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! |
 |
|
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 | =
|
|
| 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.