Thank you for your order with BrownSugar.

Please print out and confirm your order by filling in the information, signing, and returning it via mail with cash, check or money order to:

B.S. Productions
1350 E. Flamingo Rd.
Ste. 233 Dept., DM
Las Vegas, Nevada 89119
OR FAX to: 702-740-5288

Orders cannot be shipped without written confirmation.
As soon as this signed confirmation is received your order will be processed and shipped to you.

E-Mail:
Billing Address Shipping Address
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DVD $35.00 each
Video #   Name   Format   Qty   Price   Item Total
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Photo's $1.50 each
Name Qty Name Qty Price Item Total
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Credit Card Type: _________________________ Card Holder's Name: ______________________________________________
Credit Card Number: ____________________________________  
Exp: ______ Total $___________

Yes, I placed this Internet order and I authorized my Credit Card # listed above to be charged in the amount of $__________. I realize I am ordering video tape(s) and or photo(s) which show sexually explicit, conduct. These materials will be used solely for my personal enjoyment, and shall not be resold, duplicated, or commercially displayed. I will never let these materials be shown to persons who do not wish to view sexually explicit materials, or to minors.

I AM TWENTY-ONE YEARS, OR OLDER.

I declare under penalty of perjury that the foregoing is true and correct.

Executed this ______ day of ____________, Year ________, in the County of __________________________, in the state of _______

SIGNATURE_______________________________________________