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.