Disclaimer and Order Form for Spanish Rose

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 item 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 item is protected by copyright laws and that any duplication is

unlawful. That none of this material wil!
 l 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 #:_____________________

Invoice Items:_____________________________________________________________________

***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. etc.