HERE IS THE FORM THAT NEEDS TO BE PRINTED AND FILLED OUT & MAILED WITH EACH CUSTOM ORDER- OR EMAILED

Disclaimer and Order Form

DISCLAIMER

I certify that I am over 18/21 years of age(whichever is legal adult in yourplace of residence) or older, that I am neither a member of law enforcement or a postal inspector, that I am aware that material I am purchasing is sexual in nature, and is not to be viewed by minors, that the materials purchased are to be viewed by me for my own personal use, that I will not show any of the material to children, minors or persons under the age of 18. It is legal in my state/community for me to have this type of material.

I understand that this video is protected by copyright laws and that any duplication is unlawful. That none of this material will be duplicated for any reason of any kind.  I agree that if for ANY reason duplicate copies are traced back to me, I AGREE to pay all Lawyer fees, detective fees, and will face criminal charges and be sued to the fullest extent of the law.

Signed:_______________________

First Name:__________________

Middle Name:_________________

Last Name(include Jr,Sr, etc..):_____________________

BIRTHDate:________________

Your Address:________________________

 ________________________________________________

Shipping Address If Different From Above:________________________

___________________________________________________________

YOUR: Email Address:_________________________

Description______________________________________________________________

_______________________________________________________________________

TOTAL AMOUNT DUE:_________  (Please make sure you have the CORRECT Amount Enclosed with your order, to ensure no delays.)

________________________________________________________________

My Official use only:   Date Received:____________  $ Received:__________

Date Order Shipped:____________   

Mailed by:________________  Tracking/Cert #:_____________________