Highway Ent. Order Form
Print a copy of this page...fill out form...and send in with a money order for the total to the address below.
Make Money Order payable to: HIGHWAY ENT. P.O. BOX 1515 RIALTO, CA 92377

Please make sure you enclose full payment, your name, and complete return address
Allow at least 5-15 Business Days & up for delivey, Thanks.
Name:____________________________________
Address: __________________________________
City:______________________________________
State & Zip:________________________________
Phone#:___________________________________
*I CERTIFY UNDER PENALTY OF LAW THAT I AM AT LEAST 18 YEARS OF AGE & AM LEGALLY ALLOWED TO PURCHASE ADULT MATERIAL:
X______________________________________________
DATE OF BIRTH: _____/_____/_______ AGE: _________

ALLOW AT LEAST 2-4 WEEKS MINIMUM FOR DELIVERY OF YOUR ORDER, THANK YOU, WE APPRECIATE YOUR BUSINESS !

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