ORDER FORM (print and then mail with your money order)
Videos available for foreign shipment.
Only DVDs available.
(Kindly print this order form, fill it out completely, and mail
with payment to the address below)
PAYMENT: Only U.S. funds accepted. No personal
checks. MONEY ORDERS must be from major banks, U.S. postal service,
Western Union or similar. Make payment to PPV Ent..
Send cash at own risk, triple sealed.
MAILING ADDRESS:
PPV
# 288
3843 Union Road, Suite 15
Buffalo, New York 14225-4284
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Subtotal |
Tax (NY State residents only) |
Shipping for Single DVD ($4.00) |
Shipping for Additional DVDs |
TOTAL |
SHIPPING AND HANDLING CHARGES:
First Class (single DVD)...............$4.00
Add for each add'l 2 DVDs..............$1.00
Tax: NY State residents...............add 8%
Foreign.........add $5.00 US per each 2 DVDs
SHIPPING CONTAINER DESCRIPTION: Videos will be shipped in sturdy,
plain looking boxes with the PPV return address. There will be no
embarrassing logos or labels.
Please remember to fill out the following information neatly and
completely. Take your time. Orders cannot be filled without it.
CERTIFICATION DISCLAIMER
I certify that I am a resident of the city
and state indicated on this form and that I am an adult under
the laws of that jurisdiction regarding dissemination of sexually
oriented materials to minors. I further certify that I am
purchasing materials only for private viewing in my residence
and that these materials will be safeguarded from minors.
I acknowledge that any commercial exhibition of them would violate
the copyright interests of PPV. I am familiar with the community
standards of the community where I reside and to which the materials
which I am ordering will be shipped and I certify that nothing
involves depictions which are unacceptable according to the
standards of the average adult in my community.
SIGNATURE_________________________________________________DATE____________________________
Please NEATLY PRINT the following information:
NAME_________________________________________________________________
ADDRESS______________________________________________________________
CITY and STATE w/ ZIP_________________________________________________