Disclaimer and Order Form for Ashley Dobbs

DISCLAIMER

I swear that I am over 18 years of age or older, that I am aware that material I am 
purchasing is sexual in nature, and is not to be viewed by minors. The video purchased
is 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. 


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..):_____________________

Date:________________

Your Address:________________________

 ________________________________________________

Shipping Address If Different From Above:________________________

___________________________________________________________

YOUR: Email Address:_________________________


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 #:_____________________

_________________________________________________________________________

 

***Please note that your name and information will NOT be given out to anyone for any use.
   This is for my Personal Protection.. verifying age & legal issues.