HIGHTIDE VIDEO ORDER FORM (revised 11/09/17) Please circle format wanted: NTSC PAL (NOTE: NTSC is the format used in North America and Japan and PAL is used in most other countries.) Please check each item that applies: DVD ___ HIGHTIDE VOL. 1 Wet Weekend ($45.00) ............. $___________ ___ HIGHTIDE VOL. 2 The Piss Competition ($45.00) .... $___________ ___ HIGHTIDE VOL. 3 Pee for Two ($45.00) ............. $___________ ___ HIGHTIDE VOL. 4 Wet Cum-Together ($45.00) ........ $___________ ___ HIGHTIDE VOL. 5 Hot Piss Girls ($45.00) .......... $___________ ___ HIGHTIDE VOL. 6 The Big Pee-Out ($45.00) ......... $___________ ___ SPECIAL 6 VIDEOS (1 to 6) COMBO ($225.00) ........ $___________ ___ HIGHTIDE VOL. 7 PeeNuts Pt. 1 ($45.00) ........... $___________ ___ HIGHTIDE VOL. 8 PeeNuts Pt. 2 ($45.00) ........... $___________ ___ HIGHTIDE VOL. 9 The Berlin Files ($45.00) ........ $___________ ___ HIGHTIDE VOL. 10 The Pool Party ($45.00) ......... $___________ ___ HIGHTIDE VOL. 11 Yellow Rain ($50.00) ............ $___________ ___ HIGHTIDE VOL. 12 Liquid Lust 1 ($50.00) .......... $___________ ___ HIGHTIDE VOL. 13 Liquid Lust 2 ($50.00) .......... $___________ ___ Go for Gold Vol. 1 ($50.00) ...................... $___________ ___ Go for Gold Vol. 2 ($50.00) ...................... $___________ ___ Pipi Girlies Pt. 1 ($50.00) ...................... $___________ ___ Pipi Girlies Pt. 2 ($50.00) ...................... $___________ ___ Urine Showers ($50.00) ........................... $___________ ___ Potty Piddlers ($50.00) .......................... $___________ ___ Pissycats ($50.00) ............................... $___________ ___ Pissing Passion ($50.00) ......................... $___________ ___ Toilet Tarts ($50.00) ............................ $___________ ___ Gorgeous Wet Georgette ($50.00) .................. $___________ ___ Georgette - Still Gorgeous and Wet ($50.00) ...... $___________ ___ Lespiss ($50.00) ................................. $___________ ___ Go with the Flow ($50.00) ........................ $___________ ___ Golden Swallow ($50.00) .......................... $___________ ___ Sweet Peeslave ($50.00) .......................... $___________ ___ Sweet Peeslave Returns ($50.00) .................. $___________ ___ Urine Vixens ($50.00) ............................ $___________ ___ Piss Parade ($50.00) ............................. $___________ ___ Doc Pee ($50.00) ................................. $___________ ___ Doc Pee - After Hours ($50.00) ................... $___________ ___ Golden Gushers ($50.00) .......................... $___________ ___ Aunty Pee ($50.00) ............................... $___________ ___ Rubber Pissers ($50.00) .......................... $___________ ___ Pantyhose Piss Party ($50.00) .................... $___________ ___ Pissy Chicks ($50.00) ............................ $___________ ___ Urine Feast ($50.00) ............................. $___________ ___ Fist & Piss Nurse ($50.00) ....................... $___________ ___ Bodily Fluids ($50.00) ........................... $___________ ___ Bodily Fluids 2 ($50.00) ......................... $___________ ___ Leaking Lesbians ($50.00) ........................ $___________ ___ Piss Mechanics ($50.00) .......................... $___________ ___ Piss Mechanics 2 ($50.00) ........................ $___________ ___ Waterproof ($50.00) .............................. $___________ ___ Waterproof 2 ($50.00) ............................ $___________ ___ Pissy Bitches ($50.00) ........................... $___________ ___ Pissed ($50.00) .................................. $___________ ___ Dirty Champagne ($50.00) ......................... $___________ ___ Piss 'n' Fist ($50.00) ........................... $___________ ___ Pee on Me ($50.00) ............................... $___________ ___ Pee Squad ($50.00) ............................... $___________ ___ To Pee or not to Pee ($50.00) .................... $___________ ___ French Piss Vacation ($50.00) .................... $___________ ___ Pee Ecstacy ($50.00) ............................. $___________ ___ French Piss Vacation 2 ($50.00) .................. $___________ ___ Pee Ecstacy 2 ($50.00) ........................... $___________ ___ Greek Piss Vacation ($50.00) ..................... $___________ ___ Preggo Piss ($50.00) ............................. $___________ ___ Wicked & Wet ($50.00) ............................ $___________ ___ Spanish Piss Vacation ($50.00) ................... $___________ ___ Top Model Piss ($50.00) .......................... $___________ ___ Spanish Piss Vacation 2 ($50.00) ................. $___________ ___ Greek Piss Vacation 2 ($50.00) ................... $___________ ___ Urine Mouths ($50.00) ............................ $___________ ___ Gina Blonde - Pissy Private Tapes ($50.00) ....... $___________ ___ Pissy Nylons ($50.00) ............................ $___________ ___ White Room Yellow Games ($50.00) ................. $___________ ___ Urine Splash ($50.00) ............................ $___________ ___ Full House ($50.00) .............................. $___________ ___ Urine Splash 2 ($50.00) .......................... $___________ ___ White Room Yellow Games 2 ($50.00) ............... $___________ ___ Afternoon Pee ($50.00) ........................... $___________ ___ Juiced Up ($50.00) ............................... $___________ ___ Afternoon Pee 2 ($50.00) ......................... $___________ ___ Pissing in the Sun ($50.00) ...................... $___________ ___ Piss Players ($50.00) ............................ $___________ ___ Blondes Piss Better ($50.00) ..................... $___________ ___ Pissing in the Sun 2 ($50.00) .................... $___________ ___ Piss Players Return ($50.00) ..................... $___________ ___ Pissy Peaches ($50.00) ........................... $___________ ___ Swallow Frenzy ($50.00) .......................... $___________ ___ Yellow Showers ($50.00) .......................... $___________ ___ Pissing in the Sun 3 ($50.00) .................... $___________ ___ Pissy Peaches Pee Again ($50.00) ................. $___________ The following titles are available in both DVD and Blu-ray Disc (BD) at $50 for DVD and $60 for BD. DVD BD ___ ___ Good to the Last Drop ($50/$60) ............... $___________ ___ ___ Piss Addicts ($50/$60) ........................ $___________ ___ ___ Swallow Frenzy 2 ($50/$60) .................... $___________ ___ ___ Piss Addicts 2 ($50/$60) ...................... $___________ ___ ___ Swallow Frenzy 3 ($50/$60) .................... $___________ ___ ___ The Chair ($50/$60) ........................... $___________ ___ ___ Wet Wonderland ($50/$60) ...................... $___________ ___ ___ Trio Urinal ($50/$60) ......................... $___________ ___ ___ Piss Fountains ($50/$60) ...................... $___________ ___ ___ Urine Delights ($50/$60) ...................... $___________ ___ ___ Pantyhose Piss Slaves ($50/$60) ............... $___________ ___ Maid to Swallow ($50.00) ...................... $___________ ___ ___ Pierced Pissers ($50/$60) ..................... $___________ ___ ___ Power Pissers ($50/$60) ....................... $___________ ___ ___ Drenched & Dripping ($50/$60) ................. $___________ ___ ___ Premiere Pissers ($50/$60) .................... $___________ ___ ___ A Wet Day at the Office ($50/$60) ............. $___________ ___ ___ The Doctor is in ($50/$60) .................... $___________ ___ ___ Teacher's Wet Pet ($50/$60) ................... $___________ ___ ___ Urine Business ($50/$60) ...................... $___________ ___ ___ Welcome to Club P ($50/$60) ................... $___________ ___ ___ The Wetter, the Better ($50/$60) .............. $___________ ___ ___ Pee Pub - Tramps Only! ($50/$60) .............. $___________ ___ ___ Pee Pub - Happy Hour ($50/$60) ................ $___________ ___ ___ Peetime on the Porch ($50/$60) ................ $___________ ___ ___ Return to Club P ($50/$60) .................... $___________ DVD ___ Confessions of a Real Life Bedwetter ($50.00) .... $___________ ___ Sweet and Salty ($50.00) ......................... $___________ ___ AMY’S PISSING PHANTASIES VOL. 1 ($60.00) ......... $___________ ___ AMY’S PISSING PHANTASIES VOL. 2 ($60.00) ......... $___________ ___ AMY’S PISSING PHANTASIES VOL. 3 ($60.00) ......... $___________ ___ AMY'S PISSING PHANTASIES VOL. 4 ($60.00) ......... $___________ ___ AMY'S PISSING PHANTASIES VOL. 5 ($60.00) ......... $___________ ___ AMY'S PISSING PHANTASIES VOL. 6 ($60.00) ......... $___________ ___ AMY'S PISSING PHANTASIES VOL. 7 ($60.00) ......... $___________ INTERACTIVE DVD ___ Pissing Personalities 1 - Sandie Davies ($60.00) .. $___________ OTHER KINK DVD ___ Cherry's Delights 1 ($50.00) ..................... $___________ ___ Cherry's Delights 2 ($50.00) ..................... $___________ ___ Cherry's Delights 3 ($50.00) ..................... $___________ ___ Cherry's Delights 4 ($50.00) ..................... $___________ ___ Kim Riga - Gala 1 ($50.00) ....................... $___________ ___ Kim Riga - Rachel High ($50.00) .................. $___________ ___ Kim Riga - Gala 2 ($50.00) ....................... $___________ ___ Kim Riga - Slut Mode ($50.00) .................... $___________ ___ Kim Riga - The Cherry Affair ($50.00) ............ $___________ ___ Kim Riga - Date with Destiny ($50.00) ............ $___________ ___ Kim Riga - Babes in Peeland ($50.00) ............. $___________ ___ Kim Riga - Piss, Spit & Cum ($50.00) ............. $___________ ___ Debbie Ashton - Pissy Pants 1 ($50.00) ........... $___________ ___ Debbie Ashton - Pissy Pants 2 ($50.00) ........... $___________ ___ Debbie Ashton - Pissy Pants 3 ($50.00) ........... $___________ ___ Debbie Ashton - Pissy Pants 4 ($50.00) ........... $___________ ___ Debbie Ashton - Pissy Pants 5 ($50.00) ........... $___________ ___ Debbie Ashton - Pissy Pants 6 ($50.00) ........... $___________ ___ Public Pissgirl 1 ($50.00) ....................... $___________ ___ Public Pissgirl 2 ($50.00) ....................... $___________ ___ Mia - A Piss Slut's Video Diary ($50.00) ......... $___________ DVD BD ___ ___ Mia 2 - More Slutty Piss Adventures ($50/$60) . $___________ Prices include shipping anywhere. Total $___________ ___I DO NOT want to require a signature to receive my order. ___Do NOT send me information about new products. ___Send future info by ___ e-mail or ___ to my mailing address. PAYMENT METHOD: ___Check ___Money Order (payable to Mentaza Media Solutions) ___ Cash ___American Express (Visa & MC not accepted) Card #__________________________________________ Expires ___________ Security Code ________ (last 3 digits on the back of the Credit Card above your signature) Your American Express card will be billed in the name of Wet Set Printing. Cash payments must be in US dollars. Personal checks from outside the US are not acceptable. International Money Orders from outside the US must be payable in US dollars and have the name of the US Bank where the money order can be cleared printed on the face of the money order. CERTIFICATION STATEMENT AND SHIPPING ADDRESS: I certify I am over 21 years of age and am requesting these sexually oriented materials. I believe the scenes described in any videos I order are within the "community standards" where I live. I certify I am not a city, state, or federal law enforcement officer for the United States nor any other country, nor a postal inspector for any country, nor am I requesting materials as evidence in prosecuting or harassing any individual or organization. Any video sent to me is for my personal use only and will not be shown to minors nor sold, traded or given to others. I have not requested anyone to "protect" me against receiving sexually oriented material nor signed any forms intended to block the receipt of sexually oriented material. If I am ordering from outside the United States, I understand all videos are legal for sale in the USA but that Patches' Place and other represented video producers cannot predict nor be responsible for the actions of customs agents in my country nor any intermediate country. I release Patches' Place and other video producers from any responsibility or liability for the acts, omissions or errors of the government of my country or any intermediate country. I am responsible for any import duties that may be required. Signed ____________________________________ Date __________________ E-Mail address for confirmation or questions________________________ PRINT CLEARLY Name _______________________________________________________________ Address ____________________________________________________________ City _____________________________ State or Province _______________ Zip _________________ Country (if outside U.S.A.) _________________ Please mail your order to Mentaza Media Solutions, 10645 N Tatum Blvd, Ste C200-290, Phoenix, AZ 85028-3053, USA with your payment.