Isis Media Online Order Form

To place your order, please fill out this form. Additional instructions appear for each section below.

When complete, click the “Checkout” button at the bottom of this page to submit your order. If all necessary information has been provided, you will receive an onscreen “Thank You” page. For your records, a receipt for your order will be delivered to the email address you have provided.

Purchase Items

To select items for purchase, enter a quantity in any product’s “Qty.” box below, choose your SHIPPING and SALES TAX options, and click the “Calculate Total” button to update your ORDER TOTAL.

You may change the quantity of any item (to remove, enter zero). Always click the “Calculate Total” button before proceeding.

Items for Purchase	Price Ea.	Qty.
How to Female Ejaculate - DVD	$29.95		$
Female Ejaculation for Couples - DVD	$29.95		$
Tantric Journey to Female Orgasm - DVD	$29.95		$
The G-Spot and Female Ejaculation - DVD - NEW!	$29.95		$
Female Ejaculation & the G-Spot - Book	$16.95		$
Female Ejaculation: the Workshop - DVD - NEW!	$29.95		$

		Subtotal	$
SHIPPING U.S. & Canada (automatically calculated):Orders up to $100: $5.00; Orders over $100: 5% of Subtotal All other Countries: $15.00 Check this box for shipping destinations other than U.S. & Canada.		Shipping	$
SALES TAX (New Mexico orders only)Check this box to add required 6.28% New Mexico State Tax.		Tax:	$

Click this button to update your ORDER TOTAL. Click to erase your purchase items and begin again.	ORDER TOTAL:		$

Billing Information

Please enter the requested information below.

* REQUIRED INFORMATION: These fields must be filled-in.

* Customer Name

* Address

* City

* State/Province

If no State or Province,
enter none.

* Zip/Postal Code

* Country

* Phone

Fax

* Email Address

NOTE: Your contact information is collected only for order confirmation. Isis Media will not use it for any other purpose.

Shipping Information (If different location)

If shipping to a location other than your billing address, please provide the requested information below. As no fields are required, please make sure all supplied information is correct and complete.

Recipient Name

Shipping Address

City

State/Province

If no State or Province,
enter none.

Zip/Postal Code

Country

Phone

Payment Options

Payment by Credit Card: Check this box to pay by credit card. You may phone in your credit card order, if you prefer. Simply check the box above and submit your order, then call us at: (800)-343-5540 To place your order online, please supply your credit card information below. * REQUIRED INFORMATION
*
* Card Number
* Cardholder Name
* Expiration Date
Visa and MasterCard payments: Please also provide 3-digit CVV2 code number below.
CVV2 Number	How to find CVV2 number
NOTE: Your credit card information is kept strictly confidential. Charge for this transaction will appear on your credit card statement as "Transit Media".

Payment by Check:

Check this box if paying by check.

Please make check payable to "Isis Media" and mail the total amount to:

Isis Media

190 Rte. 17M

Harriman, NY 10926

Check orders take two weeks to process.

Submit Order

Thank You For Your Isis Media Order!

When you have completed the form, click the button below to send your order for processing. If all necessary information has been provided, you will receive an onscreen confirmation of your order.

We will contact you shortly to verify your information.

The Female Ejaculation Sex Education Institute is a trademark of Dasero, Inc. March, 2007