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Your Condom Machine | home
To Order
 To Order
I'm hoping to accept credit cards in the near future, but for now, if you would like to order, please print out this order form with your browser's print button, and mail it along with your check, money order, or cashier's check to the address below. If you do not have a printer, or the order form does not print correctly, please write ALL of the following info down & mail it in with your payment.
*NOTE* - Orders can only be shipped inside the continental United States
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Make payment to & send to : George Taffs
P.O. Box 707
Tucker, GA 30085 - 0707
QUESTIONS? - E-mail me at : yourmachine@excite.com
SHIP TO : _____________________________________
ADDRESS : _________________________________________________
__________________________________________________
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*Please provide your e-mail so you can be notified when your order has been received & shipped
E-MAIL - ____________________________________________________
MACHINE COLOR : circle one BLACK WHITE CHROME
PRODUCT FOR MACHINE : circle one 50 Pieces for $25.00 OR 72 Pieces for $36.00
PRODUCT CHOICE : circle one Rugged 'n' Ready Aroma's Ribbed Hugger Bare Skin
Pandora's Box Tingler Ring
*PLEASE DON'T FORGET TO INCLUDE $12.95 FOR SHIPPING AND HANDLING
*PLEASE SIGN HERE TO VERIFY THAT YOU ARE 18 OR OLDER ______________________
If you would like to order only product for refill, please send $25.00 for 50 pieces OR
$36.00 for 72 pieces PLUS $3.00 Shipping and handling
ALLOW UP TO 3 WEEKS FOR DELIVERY OF ORDER
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