Please print, fill out and send this form along with your money order.

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Please make Money Order payable to: Gunner Worldwide (We do not accept checks.)

 

MAIL TO: GWW 1735 Market St. Suite A486 Philadelphia, PA. 19103

NAME:__________________________________________________________________
ADDRESS:_______________________________________________________________
CITY:__________________________________ STATE:_____ ZIP:__________________
Email Address:___________________________ PHONE # (opt)_____________________

 

. . . . . . . . . . . . . . . . ITEMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AMOUNT
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________
_____________________________________________________ . . . . . ______________

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SUBTOTAL . . . . .______________
. . . . . . . . . . . . . . . . . . . . . . .Pennsylvania residents add 7 % sales tax . . . . . .______________
. . . . . . . . . . . . . . .*SHIPPING - $6.95 1st item, $.50 each add'l item. . . . . .______________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TOTAL . . . . .______________

*for shipment to the US and CANADA only

LEGAL SIGNATURE

By signing hereunder I certify that I am 18 years of age or older. I am also familiar with all local laws in my area affecting the purchase, sale and shipment of erotica. I have the legal right to purchase and receive shipment of adult oriented materials and GUNNERWORLD has the legal right to ship them to me. I guarantee the adult oriented materials I am ordering will not be used for anything other than my own private enjoyment and will never be shown or given to a minor. Date of Birth ___/___/___

Signature_____________________________________________ Date _______________

Copyright © Gunner Worldwide. All Rights Reserved.