SURFACE ORDER FORM

KnightStorm Films
P.O.Box 3997
Silverdale. WA 98383-3997 USA

Please use this form if you wish to pay by personal check, money order or cash. To print this form, simply click on your "Print" feature. Please send this order form to the above address. Make Checks/Money Orders payable to KnightStorm.

I certify that I am at least 18 years old.  I am aware that you are sending me sexually oriented material which is only for my use and will not be resold or in any way be distributed -- especially to minors.

PLEASE PRINT CLEARLY! IF WE CAN'T READ YOUR NAME OR ADDRESS WE WILL NOT SHIP THE MATERIAL.

FIRST NAME: _____________________ LAST NAME: _____________________________________

STREET ADDRESS: _________________________________________________________________

CITY: ____________________________ STATE: _________________ ZIP CODE: ______________

EMAIL ADDRESS: __________________________________________________________________

Signature:___________________________________________________
(Needed for Disclaimer. Without this signature we WILL NOT send any orders).

Personal Check Enclosed___________  (Order held until check clears) (US FUNDS ONLY).
Money Order Enclosed_____________ (US FUNDS ONLY)
Cash Enclosed___________________ (Not recommended to send Cash in the mail)
Make check/money orders payable to KnightStorm.

Please send the following items. (List I.D. Letters and Numbers i.e.: DKB-1, KL-1, etc.)
___________________________ Price ________________
___________________________ Price ________________
___________________________ Price ________________
___________________________ Price ________________
___________________________ Price ________________

DVD ONLYL:
DVD Orders: Custom Jewel Case or Plain Jewel Case (Please circle your choice)

Sub-Total:_______________

Shipping & Handling ________________

(U.S. $6.50 DVD, $1.00 each additionl DVD)
OVERSEAS  $12.00 DVD, $2.00 each additional DVD.)

Washington State Residents ADD 9.0% Tax:_________


Total of Order Enclosed:___________________