Print the form below, complete it and send it with your payment. No order will be shipped without this form.

Send all orders to:

RT Enterprises

397 Bolton Street

Unit G-3

Marlborough, Ma 01752

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MAIL ORDER FORM (print and complete)

Name_____________________________________________________

Address________________________________________________________________

______________________________________________________________________

I would like to purchase (please check appropriate title):

AS-1_______________ ($23.00)

WW-1_______________ ($23.00)

WW-2_______________ ($23.00)

WW-3_______________ ($23.00)

WW-4_______________ ($23.00)

WW-5_______________ ($23.00)

WW-6_______________ ($23.00)

WW-7_______________ ($23.00)

WW-8_______________ ($23.00)

NOTE: Above prices include shipping via USPS First Class Mail.

Total amount enclosed is $___________________________

Please complete the 3 statements below by filling in your age, date of birth and print and sign your name. The Order will not be processed and will be returned without a clear, legible name and signature and completed statements using this form.

I certify, under penalty of perjury, that I am ___________________years old.

I certify, under penalty of perjury, that my date of birth is:________________.

By affixing my signature below, I certify under penalty of perjury that I am ordering sexually explicit material, and that such material does not violate any community standards in my community.

____________________________________________________________

Print Full Name 

_____________________________________________________________

(Signature -Full Legal Name)

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