Place A Manual Order

Fax:
To order by fax, fill out the order form, print it and fax it to our 24 hour fax line:
213-427-2408

Mail:
To order by mail, fill out the order form, print it and mail it to:
Can-Am Productions
P O Box 15729
N Hollywood CA 91615-5729

 

All orders for Lucas Kazan DVDs are taken and fulfilled by:
Can-Am Productions

 

 

Customer Release Statement:
Attention: Please fill out the following BEFORE printing.

I declare by signing this statement that I am 21 years of age or older. I also desire to receive sexually-oriented material for my personal use and authorize you to mail me such material. I have not requested the Postal Authorities or anyone else to protect me against the receipt of sexually-oriented materials. These materials will not be shown to minors and I believe they do not offend the standards of the community in which I live. I am not a Postal Inspector, a Law Enforcement Official or acting as an agent, attempting to obtain evidence for the prosecution of any individual or business. All of the above is understood and true.

Name:
Address:

City:
State/Province:

Zip/Postal Code:
Country:
E-Mail Address:

 

Signature: _____________________________  Date: _____________

 

WE NOW SHIP ABROAD!

NOTA BENE: ACCETTIAMO ORDINI DALL' ESTERO

 
Shipping Address:
Name:
Address:

City:
State:
Zip:
E-Mail Address:
Phone:
 
Method of Payment: (* Make checks payable to "Can-Am Productions Inc.")
VISA/MC
American Express
Discover
Cash (at your own risk)
Check*
Money Order*
Card number:
Expiration Date:
Name as it appears on the Credit Card:
CVV:
 
Billing Address (if different from above):


Billing City:
Billing State:
Billing Zip:
 
List the Titles you wish to order (DVD only): Price:
 
California residents add 8.25% sales tax:

Shipping and Handling:
Domestic (via Priority Mail or UPS):
$5.00 shipping for 1 DVD
$3.00 shipping per DVD, if more than 1

Foreign Orders *:
$7.00 for 1 DVD and $7.00 per DVD, if more than 1
* note: foreign orders are mailed without the DVD cases

 
Total: