MAIL ORDER VIDEO FORM

To order through the mail, print this form and send to: MIB POB 42430 Pittsburgh PA 15203 USA

Check or MO made out to: MIB Productions   To ask questions about DVDs, send email.

IMPORTANT: If you are mailing in a form, send email to state it is on the way.

 

VIDEOS ARE FOR LEGAL ADULTS ONLY By signing this form I am stating that I am over 18 years of age and am aware that this is adult material with bondage and discipline themes. I am also aware of my local laws and am taking full responsibility and liability for contents. Signature:                                                                                           Date: I certify that I am over 18 years of age and am aware that this is adult material with bondage and discipline themes. I am aware of my local laws and am taking full responsibility and liability for contents DVD 5 format DVDs listed at bossdvd.com/dvds.html are 10 for $100 (add $15 for S&H) If this is a mail order, please write the complete name(s) of the DVD(s) you would like here: If they are unavailable the closest proximity will be sent. On the back of this form list when you already own so no duplicates will be sent. Thank you. For questions send email.         Name: Address: City, State, Zip: Country: Phone number: If this is a credit card order, enter the number _______    _______    _______    _______  exp. date _______   _______ security code on the back of your card:   If this is a check or money order, make it payable to MIB Productions.      Do not send cash.                                                         Mail to: MIB POB 42430 Pittsburgh PA 15203 USA                                                               DVDs are shipped discreetly in plain containers!

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