Video Title: ________________________________ Cost: __________
Video Title: ________________________________ Cost: __________
Total: __________
Please send check or money order to:
Flying Feathers Productions
1027 S. Rainbow Bl. #267
Las Vegas, NV 89128
Please allow 2-3 weeks for delivery
NO SALES TO MINORS. ALL INFORMATION IS STRICTLY COMFIDENTIAL.
PLEASE FILL OUT THE FORM BELOW, SIGN, AND RETURN WITH YOUR ORDER.
Name: __________________________________________________
Address: ________________________________________________
City and State: ______________________ ZIP Code: _____________
E-Mail Address: ______________________
By signing below, I certify that I am at least 18 years of age, and that the name above is my true legal name. I understand that I am purchasing adult oriented material, and I certify that I am legally entitled to receive such material, and that such material is appropriate in my community. I further agree that said material is for personal use only, and that I will not duplicate it, edit it, nor post it or send it on the internet or via e-mail.
Signed: ________________________________________________