Print Friendly Order Form
Lovely Rene @ Southern Charms Terms and
Conditions and Order Form
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 that copyright laws protect the
photos, videos, CDs, or DVDs. 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 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. I understand that "Lovely Rene" 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 "Lovely Rene" within 48 hours of delivery.
5. I hereby release "Lovely Rene"
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): ________
*** Member ID is used for verifying free shipping to members only ***
(Expired memberships DO NOT count, You MUST be a CURRENT member!)
Lovely Rene Archived Photos CD:
Priced @ $75.00__Quantity:_____Amount$______________
Custom Photo Sets on CD:
Describe In Detail This Set:
*** Some FETISH content is extra ***
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Priced @ $2.00 per photo 25 photo
minimum__Quantity:_____Amount$__________
*** Some FETISH content
is extra ***
Autographed 4X6 Print:
Priced @ $5.00__In Frame__Add $5.00 Quantity:_____Amount$_____________
Name Of Photo: (e.g. lo21x001.jpg) _______________________________________
Autographed 5X7 Print:
Priced @ $10.00__In Frame__Add $5.00 Quantity:_____Amount$_____________
Name Of Photo: (e.g. lo21x001.jpg) _______________________________________
Autographed 8X10 Print:
Priced @ $15.00__ In Frame__Add $5.00
Quantity:_____Amount$_____________
Name Of Photo: (e.g. lo21x001.jpg) ________________________________________
12 Month 8X10 Calendar Print:
Priced @ $15.00__ Year: _____________
Quantity:_____Amount$_____________
Name Of Photo: (e.g. lo21x001.jpg) ________________________________________
Full 12 Month Calendar:
Priced @ $30.00__ Year: _____________
Quantity:_____Amount$_____________
Name Of Photos: (e.g. lo21x001.jpg) ________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
***Add $5.00 Shipping (non
member) Members get items shipped for FREE***
TOTAL
AMOUNT DUE + SHIPPING:$_________________
***Concealed Cash or Money Orders only (with Payee
BLANK)***
***Please make sure you have the CORRECT Amount Enclosed with your
order, to ensure no delays.***
*** Mail All Forms and
Payment to***
Rene
P.O. Box 582
Pekin, Illinois 61555
___I would like to be notified by email when my order
has been received.
___I would like to be notified by email when my order had been shipped.
Email Address (if different than
above)_______________________________________
****************************************************************************
My Official Use Only:
Date Order Received:__________________________________________________
Item(s) Ordered:______________________________________________________
Amount Received:$_____________________
Member: Yes___ NO___ ID: ____________________________________________
Eligible For Free Items: Yes___ NO____
Date Order Shipped:___________________ Mailed by:_______________________
Tracking/Cert #:______________________________________________________
***Please note that your name and information will NOT be giv! en out to anyone
for any use. This is for my Personal Protection. Verifying age & legal issues.***
