| Go Live, Inc. PO Box 2464 Pinellas Park, FL 33780-2464 |
SG |
order
by phone : 1-(877) 246-9745 order by fax: (727) 329-8719 |
|
All orders
are Shipped in a Plain Box, with NO Mention of the Word Adult Toys
YOU MUST BE OVER 18 YEARS OF AGE TO PLACE THIS ORDER! |
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| Ship To: | Bill To: | |||||||
| Name | . | Name | . | |||||
| Address: | . | Address: | . | |||||
| . | . | . | ||||||
| City | . | City | . | |||||
| State | . | Zip | . | State | . | Zip | . | |
| Email Address: We will email you confirmation that we received your order. We will not sell or share your email address. |
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quantity: |
Item Name: ..... Example Decadent Indulgance 2 |
Price
Each |
Total |
| . | . | $ | $ |
| . | . | $ | $ |
| . | . | $ | $ |
| . | . | $ | $ |
| . | . | $ | $ |
| . | . | $ | $ |
| . | .Coupon Code |
- $ | |
|
$5.00 Plain
Box Shipping: USPS Standard (Free over $50) -or- Priority Mail 3-5 Days $6.99 Per $100 of Merchandise) |
$ | ||
|
FL
Residents Only - add 7% Sales Tax |
$ | ||
|
Total |
$ | ||
| Payment Options: | If
your are paying by Check or Money Order: Please Make Payable to Go Live Inc. and send to: Go Live, Inc. PO BOX 2464 Pinellas Park, FL 33780-2464 Pay with Money Order For Same Day Shipping. Money Orders are Available at the Local Post Office * Note: There is a $25 Fee for Bounced Checkes, Personal Check are held for 10 days. |
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| Credit Card: ( Visa MasterCard American Express Discover ) Money Order Check* | ||
| Card Number: | 3 Digit Card Code _____________________ (Last 3 Digits On Back of Card) |
|
| Expiration Date: | ||
| Card Holder Signature: X___________________________________________ | ||