Tom Fitzgerald
PO Box 292183
Los Angeles, CA 90027 USA

www.pimpadelicwonderland.com/VideoLibrary.html pimpadelicmail@gmail.com


Name __________________________________________

Street ________________________________ Apt _________

City ________________________________

State ____________ Zip _______________ Country ____________

Email ___________________________________________ Please write clearly! :-)

Title:
Title:
01) ____________________________________________ 07) ___________________________________________
02) ____________________________________________ 08) ___________________________________________
03) ____________________________________________ 09) ___________________________________________
04) ____________________________________________ 10) ___________________________________________
05) ____________________________________________ 11) ___________________________________________
06) ____________________________________________ (Free) 12) ___________________________________________ (Free)
Total: $ ___________
Pay method: Check / Money Order / Cash

Make payable to: Tom Fitzgerald

You must be 18 or over to order. Please state your age and sign here: _____ _________________________

Notes: