Maxi Mounds Product Order Form

       ITEM                                                  PRICE                           TOTAL   

#1. Autographed 8x10's (order by number) #_________           $10.00                                               _________        
 
#2. 16 x 20 Color Poster                                                               $20.00                                               _________
(specify bikini or topless)

#3. T-Shirts                                                                                   $20.00                                               _________  
  
#8. Coolie Can Wraps (order by number)   #_______               $12.00                                               _________  

#9. Score Magazines  (month)_________________                    $10.00                                               _________

#10. D-Cup November 2003                                                        $10.00                                           _________

#11. Buxotica  Magazine                                                             $10.00                                               ________

#12. The Maxi Mounds Guide To The World Of Exotic Dancing   $17.95                                        ________

#13. Maxi Mounds Home Videos #1      DVD Only                 $25.00                                               _________

#14. Maxi Mounds Home Videos #2       DVD Only                 $25.00                                              _________

#15. Maxi Mounds Home Videos #3       DVD Only                 $25.00                                              _________

#16. On Stage With Maxi Mounds!         DVD Only                 $25.00                                              _________

#17. Score's Boob Cruise 2000                DVD Only                 $30.00                                              _________

#18. Napali's Max-Out!                            DVD - $20.00       VHS - $15.00                                       _________

#19. Score's Busty Auditions 2                 VHS Only                 $15.00                                              _________

#20. Score's Mega Boob Olympics          DVD - $30.00        VHS - $15.00                                       _________

#21. Phone Sex With Maxi Video            DVD Only                 $25.00                                              _________

#22. Maxi In Bondage Video                    DVD Only                 $25.00                                             _________

#23. Napali's Monumental Mams            DVD - $20.00       VHS - $15.00                                      _________

#24. Napali's The Milking of Minka        DVD Only                 $20.00                                             _________

#25. Maxi & Kayla's Big Boob Toy Story   DVD Only             $30.00                                            _________

#26. Maxi & Kayla's Big Boob Toy Story 2 DVD Only            $30.00                                             ________

#27. Maxi Wet&Wild Video                DVD Only                      $25.00                                             _________

#28. Maxi - Private Dancer Video       DVD Only                      $25.00                                           _________

#29. Multi-O Maxi Video                     DVD Only                      $25.00                                             ________ 

#30. Maxi's Lingerie Show                   DVD Only                     $25.00                                              ________

#31. Battle Of The Huge Ones             DVD - $20.00             VHS - $15.00                                     ________

#32. Battle Of The Big Ones                DVD Only                      $20.00                                             ________

#33. Score Classics #2                           DVD Only                     $30.00                                             ________

#34. Maxi's Vegas Vacation                 DVD Only                    $25.00                                              ________

#35. Bound For Pleasure                       DVD Only                    $25.00                                              ________

#36. The Lost Score Video                    DVD Only                    $20.00                                              ________

#37. Bound For Pleasure 2                    DVD Only                    $25.00                                                ________

#38. On The Road With Maxi               DVD Only                    $25.00                                               ________

#39. Toy Time                                        DVD Only                    $25.00                                                ________

#40. Bra Buster                                      DVD Only                    $25.00                                                ________

#41. Missionary Impossible                  DVD Only                     $30.00                                               ________

#42. Hardcore Maxi                              DVD Only                     $25.00                                                ________ 

#43. Talkin' Dirty                                  DVD Only                     $25.00                                                ________ 

#44. Teacher's Pet                                 DVD Only                     $25.00                                                ________ 

#45. Hard At Work                                DVD Only                     $25.00                                                ________ 

#46. Just You & Me                              DVD Only                     $25.00                                                ________ 

#47. Bustin' Out!                                    DVD Only                     $25.00                                                ________

#48. Stripper!                                         DVD Only                     $25.00                                                ________

#49. Maxi's Fetish Fest                         DVD Only                     $35.00                                                ________

#50. Sugar & Spice                                DVD Only                     $25.00                                                ________

#51. Stageside!                                      DVD Only                     $30.00                                                 ________

#52. The Wetter The Better                 DVD Only                     $30.00                                                 ________

#53. Secret Pleasures 1                         DVD Only                     $25.00                                                 ________

#54. Rich Bitch                                      DVD Only                     $25.00                                                 ________

#55. Dress-Up Maxi                              DVD Only                     $30.00                                                 ________

#56. Talkin' Dirty 2                               DVD Only                     $30.00                                                 ________

#57. The Teacher                                  DVD Only                     $30.00                                                 ________

#58. Secret Pleasures 2                         DVD Only                  $30.00                                                 ________

#59. The Boss                                        DVD Only                     $30.00                                                 ________

#60. Party Girl                                        DVD Only                    $30.00                                                 ________

#61. Purple Passion                                DVD Only                    $30.00                                                 ________

#62. Secret Pleasures 3                          DVD Only                    $30.00                                                 ________

#63. Office Heat                                     DVD Only                    $30.00                                                 ________

#64. Smokin' Hot!                                  DVD Only                    $30.00                                                 ________

#65. Used Bra                                                                           $100.00                                                  ________

Please circle your choice of VHS or DVD if needed. 
Underlined items are limited quantity and subject to
availability

Subtotal:                                                                                                                                                 ___________

(Florida residents Must add 8% sales tax)                                                                                          ___________

Shipping Charge:
$6.00 for 1st item
$1.00 for each additional item                                                                                                                ___________
Overseas orders add $5.00

Total Enclosed:                                                                                                                                       ___________

Orders must be paid with cash or money order are shipped within 3 business days.
If paying by personal check, please allow 2 weeks for your check to clear. Checks and Money orders should be made 
payable to Mounds Productions. 

Special Shipping, Autograph, or other instructions:_____________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Ship To:
Name:_______________________________________________________
Address:_____________________________________________________
City:_________________________________________________________
State:________________________________________________________
Province/Country:______________________________________________
Zip Code:_____________________________________________________
Email Address (optional):________________________________________

Please sign the statement below or your order CANNOT be shipped.

I hereby certify that I am an adult of legal age to order adult entertainment products in the County, State, 
and Country in which I reside. I also certify that I am ordering these products for my own use and will
NOT allow any minor to access them. I understand that unauthorized duplication of copyrighted materials is a violation of 
Federal and International law. I further certify that I am not ordering these products for the purpose of entrapment or in the 
course of any legal investigation or prosecution. I understand that all sales are final and Mounds Productions will not be 
held liable for any customs seizures.

(Signed)______________________________________________________

Printed Name________________________________________________

Age________  Today's Date______________________

Send this completed form with your payment to:

Mounds Productions
P.O. Box 484
Englewood, Fla. 34295

                                                                                                   Thanks for your order!