AMVC POINTS -- Mail In Redemption Form

Mail Complete Form and AMVC Point Cards To

On The Edge of Cyberspace, Inc., 1509 E. Madison St., Suite 101, Seattle WA 98122

Instructions: Write the film ID codes and titles below and mark which format you want to receive.  Not all films are available in all formats. Please check our web site to be sure your desired format is available. Each Free Film costs 10 AMVC Points. Be sure to send your point cards in with this order form. We cannot complete redemptions without the required point cards.

Video ID and Video Title

DVD-R

DVD+R

1

2

3

4

5

6

AMVC Point Cards included with this redemption: (each film costs 10 AMVC Points)

Shipping Name:

Shipping Street Address:

City, State, Zip Code:

Email Address:

Statement of Intent: I am an adult, aged 18 years or older. I wish to receive the adult erotic material indicated on this redemption form. I am receiving this material for my personal and private use: not for resale, not for rental and not for display to minors. The name and address shown above are my own and this product is not being shipped to anyone other than myself.

All redemptions must be signed. Unsigned redemptions will be refused.

Signed: