Name:______________________________________________
Address:___________________________________________
___________________________________________________
City:______________________________________________
State:_____________________
E-mail Address:_____________________________________
Phone Number: (____)________________________________
World Name:_______________________ (License is for Use in One World)
AW Screen Name:___________________________________
Number of copies:______________
Money Order:____
(DELIVERY upon Receipt of Payment)
Make Money Order Payable to: Lars Wyka
_____ $15.00 NUDE SET - U.S. Funds
Mail to:
Lars Wyka
E-Mail: hfaw@heartfall.com
AW ScreenName: InSaNiTy
Heartfall Productions
P.O. Box 200813
Arlington, Texas 76006