Pornorama, Order form via secure server

Pornorama Online Order Form

Postal Address
Pornorama, 215 Sidonia Av. #3,
Coral Gables, Fl 33134,
USA.

Fax Number
1-305-475-00-55

Customer Details

Name              
Email Address     
Organization      
Homepage, if any  

Postal Address

Purchase Details

Please type in the number of units you wish to purchase in the box next to each product. Total value and discount, if any, will be automatically calculated.

Code	Description	Price($US)
P1	Pornorama 1.0	$35.95
P2	Pornorama Plus	$64.50
P3	Pornorama 1.1	$25
P4	Miss Miami Nude	$75.95
P5	Superpack 1	$49.95
P6	Superpack II	$79

Billing Details

This information is generated automatically for your convenience!

Products      
              
Subtotal  US$ 
Discount    % 
Total     US$

Credit Details

Method of payment
             Check via post
             Credit card via Fax
             Invoice me
             Credit card via online (fill details below)

Card Type
             Visa
             Mastercard
             American Express
Card Number 
Cardholder  
Expiry Date

Feedback

Comments

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