Check, money order, or charge to VISA, MasterCard, or
Discovery.
Print and fill this form. Mail to:
Bonnett's Bookstore
502 East Fifth Street
Dayton, Oh 45402
Name _______________________________________________________
Address _______________________________________________________
City/St/Zip _______________________________________________________
Email _______________________________________________________
ISSUE(mm/yy) COSTS
_____/_____ $________.____
_____/_____ $________.____
_____/_____ $________.____
_____/_____ $________.____
_____/_____ $________.____
$________.____ Sub Total Cost
$________.____ Shipping & Handling
$5.00 first magazine
$1.00 per additional
$________.____ Total Cost
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* Must DATE & SIGN and send with payment: *
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* *
* I certify by my signature that I am at least 21 years of age and *
* that I wish to order these adult magazines for my own use and it *
* is legal to purchase and possess such material in my location. *
* I further certify that I am not a city, county, state or federal *
* law enforcement officer, nor am I an inspector or official of US *
* Postal Service ordering this material with the intention of using*
* said material as evidence for prosecution or harassment of any *
* individual or organization. *
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* *
* Signature __________________________________ Date ___/___/___ *
* *
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Credit Card#_________________________________ Exp Date___/___
Money Orders...Please allow 1-2 weeks delivery.
Checks.........Please allow 4-5 weeks delivery.