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Print this form out with your computer. 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 or fax it completed to the address below.
Be sure to complete the DECLARATION below and SIGN THE FORM.
ORDER INFO
ITEM 1_________________________________________ORDER #___________________
ITEM 2_________________________________________ORDER #___________________
ITEM 3_________________________________________ORDER #___________________
ITEM 4_________________________________________ORDER #___________________
ITEM 5_________________________________________ORDER #___________________
ITEM 6_________________________________________ORDER #___________________
ITEM 7_________________________________________ORDER #___________________

TOTAL PURCHASES_______________________________$___________
Texas Residents add 8.25%sales tax ___________________$___________
United States shipping charge: 9.00
International Shipping Charge: 1 to 4 items $15.00, 5 or more $20.00_______$___________
TOTAL AMOUNT OF ORDER_______________________$____________
SHIPPING ADDRESS
NAME_____________________________________________________
ADDRESS_________________________________________________
CITY____________________________ST_______ZIP______________
COUNRTY_______________________

PAYMENT INFO
CIRCLE PAYMENT TYPE ....check....money order

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 Checks payable to:SOUTHBOUND PRODUCTIONS
Send to:
Southbound Productions
1501 South Loop 288
Suite 104 PMB 322
Denton, TX 76205

ORDER BY FAX: (XXX) XXX-XXXX (SEND COMPLETED ORDER FORM)
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 21 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: _________________________________________________

PRINT YOUR NAME HERE: ______________________________________

Revised: 5/16/2007

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