APPLICATION FORM (print and fill out)

to be filled out by the person submitting the photos and or video tape please note: signed model releases and photocopies of valid photo IDs must be included with each entry.

NAME _____________________
ADDRESS __________________
CITY ________________
STATE _________ ZIP _________
AGE _____________
E-MAIL ____________________

NOTICE: I hereby certify by signing above that I am 18 years of age or older and subscribe to the view that an adult person has the right to view sexually oriented material in the privacy of his or her own home without interference by any person.

I certify that all models appearing in the photos and or video(s) I have submitted are over 18 years of age, as attested by a photocopy of my Driver's License, State ID, Birth Certificate, Passport or Visa.

I also certify that all models were not under the influence of any drugs or alcohol during the making of the videos and have granted permission to appear in such video.

I declare under penalty of perjury that I am not now, nor previously have been, a law enforcement officer or an employee or agent of any law enforcement agency.

I WARRANT THAT SEXUALLY EXPLICIT FILMS, VIDEO CASSETTES AND MATERIALS ARE NOT OFFENSIVE TO ME NOR TO THE AVERAGE PERSON IN THE COMMUNITY IN WHICH I LIVE. YOUR SIGNATURE:

____________________________________________ DATE: _________________