Dean Enterprise Video Warehouse
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Send your order  and payment to: 
DEVW Corporation
P.O. BOX 214
Peninsula, OHIO 44264
-----------------------------------------------------------------------------------------------------------------------------
Please fill out all information and then print this form.
BILLING INFORMATION 
First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
E-Mail:
PRODUCT INFORMATION
Description
 DVD or VHS
Quantity
Price
Total
$ 
$
$ 
$ 
** additional items please use a separate sheet of paper

Shipping and Handling
$7.00
Order Total:
IMPORTANT! YOU MUST READ AND SIGN 
THE LEGAL DISCLAIMER 
BELOW TO ORDER ANY VIDEOS FROM DEAN ENTERPRISE.
I hereby certify that I am an adult, age 18 or older, and that I am purchasing adult material for private use in my home. I will not furnish this material to minors. I understand that this material is copyrighted, and may not be redistributed. I further certify that I am not a city, state or federal organization ordering this material with the intention of using such material as evidence for the prosecution or harassment of any individual or organization. I do not believe this material is illegal or obscene by my standards, or by my federal, state, country, city or community laws/standards. I simply enjoy this subject material and wish to view it.

SIGNATURE X_______________________________
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Copyright Directed to DEVW Corporation 2003
DEVW Corporation is in full compliance with the record keeping requirements of 
18 U.S.C. 2257 (a)-(c) and 28 C.F.R. Part 75. 
All models were at least 18 years of age at the time of production.
Custodian of Records is
DEVW  P.O. Box 214 OHIO 44264
For Information or to Obtain this documentation please
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