Tour Highlight DVD Request

First Name:
Last Name:
Email Address:
Mailing Address:
City:
State
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Phone
	Yes, please give me a call at this number to discuss my exciting singles tour! (We normally wait until after estimated delivery of your package. If you wish not to be contacted by phone please uncheck box)
Previous Tour Client?	yes no
Destination of Interest:
Enter Any Comments, Questions or Needs:
Choose appropriate postage and handling:
	$5.99 1st Class USPS Mail (U.S. & Canada Only - normal 2 to 5 day delivery)
	$15.95 1st Class USPS International Mail (OUTSIDE U.S. & Canada - normal 8 to 10 day delivery)
All requests are normally shipped next business day. For expedited or express delivery options please call our office at (602) 553-8178. Delivery times above are estimated and not guaranteed.

If you prefer to mail a check or money order please complete this form
and submit it. Then click on "Mail, Fax or Call In Credit Card".

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Crimea Women

7227 North 16th Street, Suite 240
Phoenix, Arizona 85020
(602) 553-8178
fax (602) 468-1119
Contact Us