PrettyNikkiChao.com Secure Store Order Form
Order By Regular Mail No Credit Card No Problem!
Please Note Checks Take 2 Weeks To Clear.  Please Be Patient!  Write any comments on the back of this paper.

Please print this form and send it with your payment to the address below:

 Nikki Chao
9368 Sierra Mar Dr.
Los Angeles, CA 90069
U.S.A.

Please Print Your Name and Ship Address below:

Name:___________________________________________

#, Street, APT:___________________________________

City, State, Zip:___________________________________

Country:_________________________________________

Email(optional):____________________________________

All Fields Must Be Filled Out. Please Fill Out Very Clearly Using A Ink Pen.

Write the items that You want to buy here!
(all the items are listed in the store)

Our shipping charge per order is:

US $ 6.00 for U.S. orders
US $ 12.00  for Canadian orders
US $ 20.00  for international orders

Total Amount: $__________ = ( quantity X $#.## + Shipping Charge )

Fees paid by Check _____, Money Order  _____ or Cash ______
(If sending Cash Please Wrap It Securely)
Your Check or Money Order should be Made Out To Zahav Productions.

By signing below I state that I am 18 years or older or of legal age to view adult material. By signing I also state that adult material does not offend me in any way, and I am not accessing the prettynikkichao.com from any country or geographical area where adult material is specifically prohibited.

X______________________


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