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         PURCHASE ORDER FORM

CREDIT CARD TERMS & PROOF OF AGE SECTION

  1) This form will stand as proof of your age and an agreement to our terms.

PURCHASERS OF VIDEOS MUST BE AT LEAST 21 YEARS OF AGE! NO EXCEPTIONS!

 2)  Required information as per our Merchant Services Agreement for accepting Internet, Phone, Mail or Fax transactions for your purchase.

  3) Do you certify that you are at least 21 years of age and a consenting adult who is requesting to purchase videos for your own personal use and "NO"  other purpose?     YES NO  

SORRY, IF YOU ANSWER "NO" YOU MUST STOP HERE AND CAN NOT COMPLETE THIS ORDER FORM

 4)  Please enter your date of birth which is Required Information:  MM / DD / YYYY  

 5)  Have you read, understand and agree to SEXSITE'S  TERMS for the sale of Adult videos and do you agree to and certify to  abide by these TERMS and CONDITIONS?   YES NO

    ONLINE CREDIT CARD SECTION

CARDS ACCEPTED : 

             6) PLEASE ENTER YOUR CREDIT CARD INFORMATION

SELECT YOUR CREDIT CARD

CREDIT CARD NUMBER   EXP. DATE: 

We verify all Credit Card Information for your protection as well as our own.
7) YOU ARE SELECTING THE VIDEO "INVADERS from URanus"

  Price: DVD -$49.95USD   VHS - $19.95USD

SELECT YOUR VIEWING FORMAT

8) SHIPPING & HANDLING CHARGES WILL BE ADDED AS FOLLOWS. CHOOSE A for  USA  or B for  INTERNATIONAL 

A) B)

9) ADD VIDEO PRICE and SHIPPING & HANDLING  ENTER TOTAL AMOUNT OF ORDER HERE:  $ USD
PLEASE NOTE THAT CHARGES TO YOUR CREDIT CARD WILL READ THOR PRODUCTIONS ON YOUR CC STATEMENTS.  ALL MAILED VIDEO PACKAGES ARE SHIPPED BY FEDEX OR U.S. MAIL. By submitting this form you are giving us authorization to charge your Credit Card for the cost of the video you selected above. Your order will be processed and mailed (by US GLOBAL PRIORITY mail for outside the USA)within 7-10 working days from your order. For orders to countries outside the USA, all purchases are at YOUR OWN RISK. We make every attempt to deliver your order to you. With International shipping, if confiscated by Customs, we DO NOT REFUND, REPLACE or RESEND your video that has been sent.

10) FULL NAME 

This is VERY IMPORTANT for the following reasons:

a) It will be verified for an approval on your Card
b) It will be matched to your card when processed
    c) Your video purchase will be mailed to the address

11) Enter Credit Card BILLING ADDRESS where you receive your monthly bill
ADDRESS:  
CITY:     STATE:
ZIP CODE: COUNTRY:
12) Enter EMAIL address:   

YOUR  E-MAIL  ADDRESS  IS  IMPORTANT TO  COMPLETE  ORDER. WE CAN NOT PROCESS YOUR  ORDER  WITHOUT  IT

YOUR FULL LEGAL NAME FOR THIS AGREEMENT 

© 2006 THOR PRODUCTIONS/all rights reserved