Your order can not be fulfilled unless you complete, sign and forward this entire order form!

(You may if you would like print out form, sign, and send with payment)

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 "Laurie Bondage"  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 "Laurie Bondage" within 48 hours of delivery.

5. I hereby release "Laurie Bondage" 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): ________

Mailing and Payment Instructions:

Please send concealed Cash or Money Order (with Payee BLANK) to:

Laurie B.  ( Do not write bondage, only use letter B for second name )
P.O. Box 51743
Livonia ,Michigan 48151