Tai-Pan Order Form
Name_________________________________________________________________
Address______________________________________________________________
City____________________________State/Prov____________Zip/pc_________
phone ( )______________________ email_____________________________
Prices: Issues 1, 3-16 18-24, and 26-42 $6.00 each; Issues 2, 17, and
25 $8.00 each; Contraband, Eclipse, Rough Trade, Bootleg, and
Skulduggery $6.00 each (US funds, shipping within the USA, Canada, or
Mexico included).
Issue Price
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Total: __________________
Postal regulations require that we obtain a complete Authorization Card
and keep it on file before we may send you adult material (special edi-
tions only, no need to sign this form for numbered issues).
By signing this card I declare that:
1. I am an adult, 18 years of age or older.
2. I am requesting and agree to accept explicit adult material to be sent
to me for my personal use.
3. I will not copy or sell these products, nor exhibit these products
to minors or anyone else who might be offended by them.
4. I have not requested the Postal Service, or anyone else, to protect me
against the receipt of explicit adult material, nor am I a Postal
Inspector or Government Employee requesting these materials in an official
capacity.
5. I declare under penalty of perjury that all above statements are true
and correct and hereby authorize Tales of the Tai-Pan Universe to ship me
the adult materials that I order.
Signature____________________________________________________________
Send order form to:
Tai-Pan
P.O. Box 17032
Seattle, WA, 98127
USA
Make check or money order payable to "Tai-Pan Literary and Arts Project".
Allow six to eight weeks for delivery. Where applicable, local sales tax is included.
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