Forbidden Fruit MIME Encoded On-line Order Form
This form is for ordering Pride Videos



Email Address...:

Name.........:

Shipping Address......: 


If we are shipping to a P.O. please indicate your actual street address:
 

City.........: State........: Country......: Zip/Postal...: NY Residence (County or Borough) Helps me with my taxes: Daytime Phone:


ORDER DETAILS

Select the VHS TAPES that you would like to order:
Click little arrow on right of entry box to choose selection: Pride Video Selection #1: Pride Video Selection #2: Pride Video Selection #3:


SHIPPING INFORMATION AND CHARGES

All Pride Video orders are shipped and charged to your Credit 
Card by Meridian Entertainment, INC. Please allow 5 to 10 days
for deliver. All orders subject to availability. Only US orders 
allowed!! Sorry.
Please Specify Delivery Method:


AMOUNT DUE

You will be charged for the product(s) ordered and the
associated shipping charge of $4.95 for the first title 
and $1.00 each additional tite if shipped with the same order.

Meridian Entertainment Inc. Accepts Visa and Mastercard only!
Credit Card Account #:    Exp Date (MM/YR):  
Full Name as it Appears on Card: Note: The merchant name Meridian Entertainment Inc. will appear on your statement.

BEFORE YOU SEND US YOUR ORDER...

Credit Card Order:
        All credit card orders will appear as Meridian Entertainment Inc. on your billing 
statement.

        Meridian Entertainment Inc. doesn't condone or tolerate credit card fraud. Mount 
Equinox will help the authorities to the best of their abilities if this 
happens.


ALL ORDERS ARE SECURELY AND DISCRETELY PACKAGED.

Once your order has been processed, a confirmation message will be sent to
the e-mail address specified above.

I respect your privacy and never rent or sell my mailing lists.



ANY COMMENTS ABOUT YOUR ORDER?


Include comments here, if any:

Please double check the contents of this form for accuracy before pressing the submit button:
Questions concerning your order should be e-mailed to: