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Fill out this form.                                           Mirage Media
Sign it.                                                     P.O. Box 3602
And return it to me at:                        Lake Havasu City, AZ  86405
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      Please make out checks and money orders to Mirage Media
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Before ordering, certify that you are 21 years of age or older,  that you 
are familiar  with all  local  laws in your area affecting the viewing of 
pornography;  that you have the legal right to  purchase  adult  oriented
material and Mirage Media has the legal right to show it to you; that you
guarantee the adult  oriented material you are  ordering will not be used
for  anything  other than  your own  private  enjoyment and will never be
shown or given to a minor by signing below.


_____________________________                    _______________________

Signature                                        Date


First Name________________________   Last Name__________________________


Street__________________________________________________________________


City________________________   State_____________   ZIP_________________

   Subscriptions to Oasis' website at cum2oasis.com or pornoasis.com

_____ $12.45 2 Weeks    _____ $24.95 1 Month     _____ $49.95 3 Months

_____ $74.95 6 Months  _____ $99.95 1 Year      _____ $249.95 Lifetime

When I receive this form, I will generate a random username and password
for you.  I need a valid email address where I can send you those stats:


Please confirm my order via email at:  _________________________________

DVD Options (Includes Shipping)

_____ $25.00 L.A. GangBang DVD

_____ $25.00 Pool Time with Oasis DVD

_____ $25.00 My Girlfriend Went Black DVD

_____ $25.00 Girls of Havasu DVD

_____ $25.00 Porn on the 4th of July DVD

_____ $25.00 Slut Convention DVD

_____ $25.00 Real Sex in Public DVD

_____ $25.00 Orgy House #1 DVD

_____ $25.00 Confessions of an Unfaithful Housewife DVD

_____ $25.00 Deflowering Oasis' Ass DVD

_____ $15.00 PRESALE SPECIAL: My Wife Went Black DVD