Mail-In Order Form

If you don't want to purchase over the internet or by credit card, Print this page.
Priority US Mail is included WITHIN the U.S.A.	Pick your pleasure!	INTERNATIONAL EXPRESS
$82.00 $83.00 $78.00 79.00 $92.00 $93.00 $94.00 $95.00 $16.00	Classic Feeldoe® and Vibrator Classic Realdoe® and Vibrator Slim Feeldoe® and Vibrator Slim Realdoe® and Vibrator Stout Feeldoe® and Vibrator Stout Realdoe® and Vibrator More Feeldoe® and Vibrator More Realdoe® and Vibrator Replacement Vibrator	$142.00 $143.00 $138.00 $139.00 $152.00 $153.00 $154.00 $155.00 $76.00
*Money Order or Certified Bank Check Only payable to EROGENICS, INC.*
You must be an adult to purchase our products. Please circle the model and amount above, and fill out the form below very neatly so we don't have to contact you and clarify something we can't read. Be sure to sign it! Then, just mail it to us:
Erogenics, Inc. P.O. Box 2694 Lakeland, FL 33806 U.S.A.
Name: ____________________________________________ Address: ______________________________________ Apt #: ____________ City:___________________ State: _________ Zip Code: ___________ Providence: ________________________ Country: ______________________ Phone number with area code: ___________________ (We'll keep it confidential) or Email: _________________________@_________________________________

TERMS AND CONDITIONS OF SALE: I am an adult as defined by governing law in my locale; Any products, and/or information, and/or services obtained by me are legal materials as defined by the governing laws of my locale; I agree to defend and indemnify Erogenics, Inc., owner(s), employees, and contractors from claims, liabilities, losses, etc., arising from use or participation in the services, products, or information contained and/or obtained herewith. ________________ _______________________________________________ (date) (your required signature)

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