Print out and send with check or money order to:

Head Injury Media LLC
4818 Ridge Rd.
Minnetonka, MN 55345


The Ultimate Ride DVD Prices
The "Sailors" Cut                $50.00   Quantity__________

Please add 4.95 for shipping (per DVD). Mn resisdents please add 6.5% sales tax.

Apparel
Mens Long Sleeve T                    $30.00   Quantity__________   Size__________
Mens Short Sleeve T                    $25.00   Quantity__________   Size__________
Womens Baby Doll T                  $25.00   Quantity__________   Size__________

Contact:

peter@penaltyboxproductions.com

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