QueenAdrena.com
 Order form:

     This is an unsecured form that is e-mailed directly to me. I then process the order on my totally secure server. The name on the bill will appear as QK Enterprises. We've had great success with this process. Buy any 3 tapes for $105 (plus Postage $5. for 1-3 tapes in the US, Outside the US - $5 per tape- with Global Priority. If your country does accept Global Priority- You must pay $7. per tape for First Class Postage). For Foreign orders, we send your tapes one at a time, with no title, with your last name on the return address to pass customs- 99.9% success in countries that accept US mail

Sorry we do not have Pal at this time- we only have VHS

Thank you for your continued business.

VIDEO TAPE Selection:        
Qty.  Product# Video Title    Price
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any videos or items that is not listed above, or personal items.
Total Cost:
Sub-Total sorry no pal available at this time
* Please add the price from each video above including any specials- Queen will double check your total
Total  Postage $5 (1-4 tps-US), $5 per tape Foreign
Grand Total
* (Postage is $5. for 1-4 tapes in the U.S., each additional tape is $1.)( Foreign orders are $5. per tape, sent individually in a plain marked Global Priority mailer for customs purposes in a movie cover. We have had great success with this system.)
Payment Options:
Accepted Cards: Visa Master Card
Card Number:
Expiration date
* If you wish to fill this form out and send it to me with a money order that is fine also.
Customer Billing Information:
First Name
Last Name
Address #1
Address #2
City
State
Zip code
Country
Phone
E-mail
Customer Shipping Information:  (if different from above)
First Name
Last Name
Address #1
Address # 2
City
State
Zip Code
Country
Misc :
Do you want to be kept on mailing list? (check to apply)
e-mail only:
regular mail:
No Mail:

Other Instruction


(Please verify your information before submit this form)


Queen Adrena/Kong Mail Address:

POB 5050, Carson, Ca. 90745

Call 310-326-1630 for more info

Fax(310)-3261630

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