World Art Erotica Museum of Human Sexuality

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Credit Card Payments for Custom Image Purchases!

Number of images

Title of image (Just cut and paste the title of the image you desire. If you want more than 3 custom images then just print more forms)	Digital Image Specifications (Image is cut on CD Rom and sent by courier)			Price (For custom images the price is US$29.95.- per image)
	(Jpeg, Gif, BMP etc)	Resolution DPI	Size (in cm or inches)
Flat Rate for Shipping & Handling to all Countries ( By UPS or Fed Ex)				US $7.00
Total				US$ 7 .00

CUSTOMER PAYMENT INFO

Customer name (As is appears on Credit Card):

Billing company (if Applicable):

Billing street address:

City:

State or Province:

or Province:

Country:

Zip/Postal Code:

Email:

Credit card number:
Expiration date:	/
Card Code: (3 digit number on back of Card)	(Leave blank if not known)

IF YOU WISH, PLEASE WRITE YOUR FEEDBACK COMMENTS HERE:

*HOW DID YOU FIND OUT ABOUT World Art Erotica?*
Friend or Lover?
Search Engine (Name?)
Link from other web site (Name?)
Advertisement or Brochure?
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Other? (Describe)

Please note that your credit card will show your charge under the name:
"Hedonisia LLC"

Don't Forget, Buy 1 Photo Print Reproduction and Get a 1-Month Membership to World Art Erotica!
If you purchase an original artwork you will receive 3-months Free Entrance to World Art Erotica.
Unfortunately we do not have Shopping Cart Technology at present so you will have to purchase each item separately.
But the Membership is worth it!

Please note that your credit card will show your charge under the name: "Hedonisia LLC"

Please note that your credit card will show your charge under the name:
"Hedonisia LLC"