Online Mail-In DVD Purchase Form
You will receive an email with your form information after your submit this form. Once we receive your DVD Order we will email you after receipt to verify amount to be paid and your DVDs will be shipped when your payment has been received. Thank you - Jewell
Email address *
Your Legal Name (First & Last or Business) *
Your answer
Your Shipping Address *
Your answer
DVD Shipping Fees & State Tax Information
Once your payment is received, we will ship your DVDs to the address you have provided above.

Shipping Fee:
Domestic USA $8.50 per order
Canada/Mexico $8.50 per order
Overseas $25.00 per order

**CA Residents Add 9.00% Sales Tax

Please List Your Desired DVD Titles Below
DVD's should be listed by their TITLE, their PRODUCT CODE and their PRICE.

Tape Bound 3 / JMV-154 / $19.95
Acts of Desperation / JMV-152 / $19.95

Your answer
GRAND TOTAL (Amount + Shipping Fee + Any Required Taxes You Are Sending) *
Your answer
Payment Type *
Age Certification
By completing and submitting this form you understand and hereby certify the following - I (legal name stated above) am 18 years of age or older and I am aware that this purchase will consist of sexually-oriented material which is for my own individual use and will not be resold, copied, or in any way distributed by me, including to minors. I further state and agree that this material complies with my local community standards and I am allowed to access/view this website.
Copyright Statement and Agreement
By completing and submitting this form you understand and agree that all images and content on all DVD's are copyrighted and may not be redistributed or used in any way without the expressed written permission of Jewell Marceau. DVD's may NOT be copied or re-sold in any form or format.
Mailing Address
Jewell Marceau
827 Hollywood Way #135
Burbank, CA 91505
A copy of your responses will be emailed to the address you provided.
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