Knob Creek Secure Order Form

Knob Creek Machine Gun Shoot

Knob Creek Machine Gun Shoot Volume I - Secure Order Form

Your Name:
Address 1:
Address 2:
City:
State:
ZIP Code:
Day Phone:
Evening Phone:
Where did you hear about this video?
Email Address:	We need your email address and at least one phone number so we can contact you if there is any problem with your order.
# of videos:
	Payment Information
	The cost per video is $15.95 + $3.95 S&H.
Credit Card Type:
Credit Card Number:
Expiration Date:	(mm/yy)
Name as it appears on credit card:
Is the above address the same as the credit card billing address?
Please ONLY click the "Submit" button ONCE!!! This will prevent duplicate orders! Processing make take a few seconds ... please be patient.


	Note: The charge will appear on your credit card as "Automation Service", our parent company.