(Please print this form fill it out and mail, FAX or e-mail it to us.)
Name:____________________________________________________________________________________
Address:__________________________________________________________________________________
City:________________________________________ State/Province:________________________________
Country:_____________________________________ Postal Code: _________________________________
Telephone:___________________________________ Email:_______________________________________

The ladies addresses are $8.00 (US) each if you purchase from 2 to 4. (There is a minimum order of two addresses.) If you buy more than 5 but less than 10 addresses it is only $7.00 (US) each! And if you purchase more than 10 addresses they are only $6.00 (US)

Please enter on the lines below the codes of the ladies you have selected (ex:A0005):

__________________________________________________________________________________________

__________________________________________________________________________________________
Total addresses ordered ______  X  Price for each address $________   =  Sub Total $
Videos    
Romance Tour Video

$5.00
Express Mail Services and Three Way Calling Services
Buy Credits for our Email Forwarding Service or our Three Way Calling Service
   
Buy 200 Credits     (Best Buy)   $190.00
Buy 100 Credits   $97.00
Buy 50 Credits   $50.00
Buy 20 Credits   $25.00
Men's Ads    
1)  Your ad in 32 local provincial newspapers $150.00
2) Your information and picture in our catalog and distributed $125.00
3) To be listed in our catalog only $  50.00
Both options 1 and 2 combined  (save $50) $225.00
Delivery method  (Select only one)    
1) Deliver my order to my email address
no charge
2) Deliver my order to my postal address
First Class Mail
US Priority Mail
US Express Mail
Federal Express
$3.00
$6.00
$15.00
$20.00
3) Deliver my order to my Fax number
$  5.00
  Order Total:
Method of Payment: Credit Card, Check or money order. Note: Customers outside of the USA are required to pay by Credit Card, International Money Order (Drawn on a US Bank) or Wire Transfer in US Dollars only (please e-mail for details).

Visa:   MasterCard:   American Express:   Discover:  Cash:   Check:   Money Order:
Credit Card # __________________________________

Expiration Date: MM / DD____/____
Signature (Required):____________________________

Date: ___________

Please make checks or money orders payable to ASL Corp. and mail it with this form to:
ASL Corp. The 401 Centre, 302 Regent Street, London, W1B 3HH

Telephone: +44-20-7193-5221

Fax Number: +44-20-7504-8036