Tai-Pan Order Form
Name_________________________________________________________________
Address______________________________________________________________
City____________________________State/Prov____________Zip/pc_________
phone ( )______________________ email_____________________________
Prices: Issues 1, 3-16 18-24, and 26-44 $6.00 each; Issues 2, 17, 25
and 45-47 $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 "mature readers
advised" material (special editions 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 mature readers advised 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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