ALL custom videos and photo shoots must be accompanied by the
form below!
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*Terms and Conditions:
Your order can not be fulfilled unless you complete, sign and forward
this entire order form!
DO NOT sign this form until you have read and understand the following Terms and
Conditions:
1. I am at least 18-21 years of age, which ever is the legal definition of an adult in
my jurisdiction. The material I am requesting is for my own personal use and will not to
be used and/or viewed by minors or anyone else. I understand and agree that the materials
will NOT be used or redistributed in any form or manner under penalty of prosecution by
law. I understand that "Dakota" retains all copyrights to the materials and may
resell or redistribute as deemed appropriate.
2. I am not a Law Enforcement Agent of any kind, a US Postal Official, or another,
attempting to obtain any evidence for the prosecution of any individual, entity or
Corporation or for the purpose of entrapment.
3. I agree that the material that I'm ordering is not obscene or offensive to me and I
enjoy using/viewing sexually explicit material for personal purposes. I am also certifying
that the erotic and/or sexually explicit material I'm ordering is not illegal or
considered obscene in my community. I hereby certify under penalty of perjury that all of
the aforementioned is true and correct.
4. I understand that all sales are final and no refunds, exchanges and/or credits will
be considered unless proof of shipping damage is provided to "Dakota" within 48
hours of delivery.
5. I hereby release "Dakota" from any and all obligation, responsibility
and/or liability related to this transaction or the materials forwarded to the Shipping
Address below.
6. By signing below, I am stating that I have read, understand and agree to be bound by
the Terms and Conditions of this legal document. In the event this form is emailed, typing/keying my name on the
"Signature" line below constitutes signing a legal, binding document just as if
I had printed the form, signed it by hand and mailed it.
Signature: ___________________________________________ Date:
_______________
Legal Printed Name: ______________________________ Date Of Birth:
______________
Name on Shipping Label:
_____________________________________________________
Shipping Address:
__________________________________________________________
City: ______________________ State: _____ Zip: ___________ Country:
___________
Email: _____________________________________ Member ID (if applicable):
________
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Mailing and Payment Instructions:
Please send concealed Cash or Money Order (with Payee BLANK) to:
Dakota Jordan
#322
10945 State Bridge RD STE 401
Alpharetta, GA 30022
Thank you so much for your
interest!!
XOXO
Dakota