PRINT, AND FILL OUT THIS FORM COMPLETELY!
ORDERS WILL ONLY BE HONORED WITH THIS FORM!

ONLY, Money Orders and Certified Checks will be accepted!
Make all M. O.'s and Checks Payable To: SAKI

Send To: SAKI
859 Hollywood Way, #110
Burbank, CA 91505

I state that I am of legal age of majority in my state (age 21+) and understand that the merchandise I have purchased is sexually oriented. I state that this merchandise that I have purchased will be for my own personal use, not for resale and will not be made available to minors. I also acknowledge that this material complies with all community standards in my own city of residence.

We reserve the right to change prices without further notification. No Refunds.
OUR POLICY: ALL SALES ARE FINAL.

PRODUCT: __________________________________________________

PRICE: $_____________________________________________________

QUANTITY: __________________________________________________

SHIPPING / HANDLING
( U.S. $ 3.50 / Int’l. $4.50): $________________________

TOTAL PAYMENT: $__________________________________________

Date: _________________________

Age: _________________________

Name: _______________________________________________________

Address: _____________________________________________________

City/State/Zip: _________________________________________________

Your Signature: ________________________________________________