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ORDER FORM (Please print clearly and mail to Juls, PO Box 452, Abbottstown, PA 17301)

Item Number: Description: Price:
     
     
     
     
     
     
     
     
     
  Subtotal $
  Wear panties for 20+ hour request $5.00 Circle if this is a wanted service
  Shipping: 0.00
  TOTAL PRICE: $

Paying by:

Credit Card (Visa/MasterCard Only)   Check    Money Order

Credit Card # _______-_______-_______-_______    Exp: ____/____

Signature:_________________________________________________ (REQUIRED SIGNATURE FOR ALL PURCHAES

NOT JUST CREDIT CARD)

I certify that I am 18 years or older.  Signature is required for all purchases.  If using a credit card, I also state this is the signature with that credit card.