DVD TITLE(S)	PRICE

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TOTAL COST (SHIPPING IS INCLUDED IN THE PRICE OF THE DVDs)

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NAME
STREET ADDRESS
CITY
STATE / PROVINCE / REGION
ZIP CODE
COUNTRY
E-MAIL

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ACCEPTED FORMS OF PAYMENT (Money orders and checks should be made payable to Francois Arsenault) . American customers: cash, international money order or check in US dollars. Canadian customers: cash, money order or check in Canadian dollars. Other customers: cash in US dollars or euros, or international money order in US dollars. . NO FOREIGN CHECKS, PLEASE

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Please send this order form and your payment to the following address:  . Francois Arsenault 2605 boul. Cote-Vertu #106 Saint-Laurent, Quebec Canada H4R 2A9

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AGE DECLARATION . The signature below certifies that I am of legal age to receive materials of an adult nature. I also agree not to duplicate the materials I receive. . Signature: _________________________________________ Date: ________________________