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Custom Video Request Form

Welcum! And Thanks for the Interest!

I *love* making video and taking photos so I would love making a custom work for you!
Just send me an email (Natasha@maxbonesmedia) with! your video or photo request and I'll get back to you straight away. Plesae be as specific as possible up front so I can give you an accurate price. For pics, plesae let me know many, and for video, how long you'd like it to be!

I can't wait to make all your fantasies come true!!!

Kisses Natasha xxxx

IMPORTANT

All custom videos and photo shoots must be accompanient by a form below, which is to be completed and send to me via email before I complete your request.

Terms and Conditions

You r order cannot be fulfill unless you complete, e-sign and forward this entire form to me!

DO NOT sign until you read and understood 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 "Natasha"  retains all copyrights to the materials and may resell or redistribute as deemed appropriate.

2. I am n! ot 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 shi! pping damage is provided to "Natasha" within 48 hours of deliv! ery.

5. I hereby release "Natasha" 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):  ________

~ ~ ~ ~ ~ ~ ~


Thanks SO much for your interest!!!

Love
 Natasha
xxx