Mail-in Order Form
Print this page on your printer, fill in the information and fax or mail it to us using the information on the bottom of the form.
You may also type directly on this page and then print the page as you would any other document.
For credit card orders, you may phone us with your order at 1-800-499-2146.
Quan.
Item #
Item Description
Price
Subtotal
Illinois residents add tax
Add $4.95 for shipping and handling in the U.S., 7.95 to Canada
(other orders from outside the US will vary)
TOTAL
Make check payable to: Intimate Research, Inc.
US FUNDS ONLY

Visa
MC
Disc
AMEX
Card Number
Expiration
Signature
Print Name
Address
City
State
Country

Must be 18 years or older to order, 30 day money back guarantee.
No returns on audio or video products.
Intimate Research, Inc.
PO Box 372
Worth, IL 60482
Phone: 800 499-2146 Fax: 708 599-2519