*******************************ORDER FORM*******************************
Print it - Fill it out - Mail to address at bottom.

ITEMAMOUNT# ORDEREDTOTAL
"Tickled in Brothers K"$15($5 s&h)______________
Poster of Life Cover photo 11 x 14 $12 ($3 s&h)______________
Montage$10 ($2 s&h)______________
Video clip Brothers K tickle scene
with added clips:
Elmer Gantry and Jailhouse Rock leg scene		 $12 ($4 s&h)______________
Special: the book, the poster,
the montage, the video		$49 ($6 s&h)______________
Total from above$__________
CA STATE TAX 9.75%$__________
U.S. SHIPPING AND HANDLING
* double the postage amount for outside USA		$_________*

TOTAL ENCLOSED
$__________

Items will be personally autographed if you wish. Please enter desired message:

_____________________________________________________________

NAME________________________________________________________
ADDRESS _____________________________________________________
CITY ______________________________ STATE ______ ZIP ____________
PHONE (________) _____________________________


PLEASE MAKE
ALL PAYMENTS
THROUGH PAYPAL.		 MAKE
PAYABLE
TO:

GLORIA PALL
SHOWGIRL PRESS
12814 VICTORY BLVD., #163
NO. HOLLYWOOD, CA 91606


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