Sex Bondage VHS Videos and DVDs Mail Order Form

- Mail Order Form -

- PRICES -
DVD = $40.00 each
[please indicate videos and format below]

- SHIPPING TABLE -

Domestic Shipping Table		International Shipping Table
1 video	$4.90	$7.00 x # of DVDs ordered = _______
2 videos	$5.70
3 or 4 videos	$7.65
5 videos	$8.85
6 or more videos	$10.30
TOTAL ___________		TOTAL ___________

- PAYMENT -

I have enclosed a check/money order/Traveler's Cheque for ___________

Make checks/money orders payable to BEV. Checks/money orders must be in US currency.
Traveler's Cheques must be signed on both sides.
Orders are shipped Priority (2-3 day) Mail with the U.S. Postal Service.
Please allow 10-14 days for delivery.

- SHIPPING INFO -

Name______________________________________________________________

Address___________________________________________________________

City_________________________ State________ Zip Code______________

Country (if not USA)____________________________________

E-Mail Address (Optional) :_____________________________________

If you have never ordered anything from BEV before, you need to complete and sign the statement below before we will authorize any shipments.

I state that I am at least 21 years of age and intend to use these materials for my own private use and will not allow their use by persons under 21 years of age. I state that these materials do not violate the laws or standards of my community and it is legal for me to possess them. I agree that these materials are Copyrighted materials and I will not copy, reproduce, or redistribute them in any way, shape or form. I understand that mail delivery can take up to a month for processing and will not hold BEV accountable for slow mail delivery service.

Signature________________________________________________

[please PRINT and mail to the address below]

BEV
2743 First St
#1006
Ft. Myers, FL 33916