PWP

PO BOX 5002,

ST. CATHARINES, ONTARIO

CANADA

L2R 7T4

TYLER

MAIL

ORDER FORM

Name: _________________________________________________________________________________

Address: _______________________________________________________________________________

City: __________________________________State/Prov:___________________ Zip: _____________

! BE SURE TO INCLUDE YOUR EMAIL ADDRESS FOR YOUR FREE 3 HIGH RESOLUTION PICS !

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! CHECK OUT THE NEW LOWER PRICES FOR EARLY PWP DVDs !

YOU CAN WRITE OUT YOUR ORDER ON A SEPARATE SHEET OF PAPER

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO: PWP
CHECK YOUR BRANDON DVD or VHS ORDER IN THE SPACE BELOW
[ ] CHECK YOUR BRANDON: THE ASIAN ASSASSIN DVD ORDER $US19.00
[ ] CHECK YOUR BRANDON: THE ASIAN ASSASSIN VHS ORDER $US19.00

SUBTOTAL

 $

POSTAGE & HANDLING ($0.00 PER DVD/VHS)

(OVERSEAS ORDERS PLEASE EMAIL FOR A SPECIAL RATE)
 $ FREE

[ ] CHECK [ ] MONEY ORDER PLEASE NO US POSTAL MONEY ORDER

TOTAL AMOUNT OF ORDER
 $ US 19.00