NASTYNYAMATEURS.COM DVD ORDER FORM
Fill out a copy of the order form below, and mail it in with cash (US currency) or a money order,
with a photo copy of your ID to verify your age.The dvd will be shipped in the name of the person on the form.(The name on the form and i.d must match ) No exceptions
Also be sure to include the shipping and handling costs. Note: All dvd's are shipped discreetly, you can choose to get then with a cover or without!
Print or hand write this form. PLEASE PRINT YOUR INFORMATION NEATLY. ORDERS ARE SHIPPED THE SAME DAY FORM IS RECIEVED.
DIRECT ORDER FORM
to order by mail, click mouse anywhere on this page, then print this form and mail it.
Be sure to complete the DECLARATION below and SIGN THE FORM.
ORDER INFO
NAME OF DVD(S) YOU WANT_______________________________
TOTAL AMOUNT OF ORDER_______________________$__________
SHIPPING ADDRESS
NAME_____________________________________________
ADDRESS__________________________________________
CITY_______________________ST_______ZIP___________
COUNRTY______________________
PAYMENT INFO
CIRCLE PAYMENT TYPE ....cash or money order CIRCLE SHIPPING TYPE......Cover or No Cover
Please give us your e-mail address just incase we need to get in touch with you incase we have a question on your order.
E-mail address: ___________________________________ We send NO SPAM or advertisments to your e-mail or shipping address of any kind. So no worries there.
Make all Payments to
SELF MADE PRODUCTIONS
P.O.BOX 720
NEW YORK , NEW YORK
10030
DECLARATION (This is a legal document. Read it carefully!)
I hereby swear or affirm, under penalty of perjury, that:
I am currently an adult, at least 18 years of age;
I am voluntarily purchasing these materials because I want to view such materials for my own personal enjoyment and/or education;
I believe that a desire to view sexually explicit materials for enjoyment and/or education is a natural, healthy, and normal part of human behavior;
I understand that the materials I am seeking to acquire are sexually explicit, I am not offended by such materials, it is legal for persons of my age to purchase sexually explicit materials, such as those I seek to purchase, in my community and I will not order, or in any way acquire, materials or goods that would be unlawful to view or possess in my community;
I am familiar with the standards of my community pertaining to the distribution and/or viewing of such materials and the materials I am ordering will not offend the contemporary standards in my community and will not be found by an average member of my community to appeal to a prurient (unhealthy) interest in sex and/or to be patently offensive;
I will not show or distribute the materials to any individual who has not reached the lawful age to view such materials, or who might be offended by such materials;
I am not ordering these materials to use them against any interests of any person or entity; I will indemnify and hold harmless the provider of these materials from any and all civil claims or criminal charges that result from my ordering and/or distributing, in any manner, the materials.
You must complete the blank sections below and sign this form before we can process your order.
I declare under penalty of perjury under the laws of the State of ________________ (your state) and the United States that the foregoing is true and correct, and that this declaration was executed on this date, _________________ (today's date), in the city and state of ___________________ (your city and state).
SIGNATURE: ____________________________________x
PRINT YOUR NAME HERE: _________________________x