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!!!
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
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