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I hereby certify that I am 21 years of age and subscribe to the view that an adult has the right to read or view sexually oriented material in his or her own home without the interference by any person or group. I am ordering this material for myself or my own private interests and not to use against the sender or any person in any manner whatsoever. I am not a law enforcement officer, postal inspector, or a member of any censorship group. I have not asked the Postal Office Department to "protect" me from receiving sexually oriented or sexually explicit material. I will not exhibit said material to a minor or any other person whose privacy or sensibilities might be offended. 

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MARCOSTUDIO
Fax: 949 597 8862

Or mail this page to: 

MARCOSTUDIO
8205 Santa Monica Blvd.PMB # 1-256
Dept. WEB
West Hollywood, CA 90046-5977