Print and Send this signed form.

Attention: This agreement must be signed to receive your tape. I certify that I am of legal age in my state and that the purchase of the below listed adult amateur videos is not in violation of any state or local laws. I am not a city, state or federal law enforcement officer, postal inspector or other entity, ordering this material with the intention of using such material as evidence for the prosecution or harassment of any individual or organization. I am a resident of the city and state indicated on this form. I am an adult under the laws of the below mentioned jurisdiction regulating dissemination of sexually oriented materials to minors. I am familiar with the community standards of the community where I reside and to which the materials I am ordering will be shipped and I certify that nothing I am ordering involves depictions which are unacceptable according to the standards of the average adult in my community. I acknowledge that any commercial exhibition of these videos would violate the copyright interests of Nancy Silk Videos. My signature below also guarantees that I am purchasing these videos for my private viewing in my residence only and they will not be duplicated or shown to minors.

Signature:_______________________________________________ Date: _______________

Note: DVD UN-AVAILABLE UNTIL FURTHER NOTICE. Sorry, no PAL format available.

FREE SHIPPING

DVD UN-AVAILABLE UNTIL FURTHER NOTICE

Buy 1 videos  $34.95 Buy 2 videos  $60.00

DVD UN-AVAILABLE UNTIL FURTHER NOTICE

Buy 3 videos  $85.00   Buy 4 videos $100.00

  Buy 5 videos $115.00   Buy 6 videos $125.00

  Buy 7 videos $140.00   Buy 8 videos $150.00

 Buy 9 videos $160.00   Buy 10 videos $170.00

Each Additional Tape after 10 is $14.00 each

 All orders ship discreetly in plain package

List your NSV Volume's here____________________________________________________________

___________________________________________________________________________________________

_____________________________________________________________________________________________.

 California residents must add 8% sales tax  $_____________

 All orders shipped in plain packages. CHECK/MONEY ORDER with the "pay to the order of" made out to "M. Otsuka"

Grand Total . . . . . . . . . . . $ _____________ 

Your E-mail address:__________________________________________________________ All sales final / No refunds

(PLEASE Print clearly! If I can't read your writing, I WILL NOT attempt to email you about the status of your order)

Your name & mailing address:_______________________________________________________________________

(PLEASE Print clearly so that you receive your video) 

Send a CHECK/MONEY ORDER with the "pay to the order of" made out to "M. Otsuka " for the correct amount along with the above signed order form to the address below. You may fill in your name and address in the "FROM" section of the money order. 

For "CUSTOM VIDEO" orders (large amount of $$), please use "Priority Mail" or "Express Mail" and the cardboard envelopes provided by USPS for security reasons. All other orders may use standard postage. 

 Send to:  

How long does it take to receive my videos?  It usually takes A FEW DAYS FOR USA ORDERS.

This web site was created by CTR Productions (c) 1998