Madam X / Reveal It

Order Form

Print out this form,
fill it in, and send it to:

Reveal It
2938 Dundas Street West
P.O. Box 70644
Toronto, Ontario, Canada
M6P 4E7

or Fax your order to:
(416) 537 - 0263

Or send in your order by phone:


416 - 537 - 2896
only if Mistress has your signed waiver on file!

Monday-Friday:
Saturday:
Sunday:

11am - midnight
12 - 8pm
noon - 8pm

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All prices are in Canadian currency.

Product Description

Price

 

Payment options: Cheque or Money Order payable to "Reveal It"
Note: cheques delay shipment 10 - 15 days.

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Sub Total

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Canadian add GST 7%

$

All shipments sent
as educational material

Ontario add PST 8%

$

Canadian orders add S/H $5.00

$

Name:

American orders add S/H $10.00

$

Address:

International orders add S/H $15.00

$

City/Town:

Prov/State:

Grand Total

$

Postal/Zip Code:

 

Phone #: (____)

 

 

 

 

SPECIAL SAVINGS!
Order All 6 Video's and Save 20%

Ontario Res: $381.80 / Can. Res: $355.24 / Other: $332.00

Please note that video orders will not be processed without this signed waiver!!

These Video Products are intended for adult use only.

These products may contain scenes that COULD be considered obscene under Canadian or U.S. Law. They are intended for entertainment only, and are to be viewed only by the purchaser who must be:

  1. I am over 19 years of age.
  2. Open minded on sexual matters and seeking entertainment only. We do not take responsibility for, nor do we wish to influence the behavior of our viewers.
  3. A person not affiliated with any branch of law enforcement, and not seeking to entrap Madam X or Reveal It under any Canadian or U.S. Law.

I, the undersigned, have read and understand the above waiver . I am a free thinking adult who does not believe that the government has the right to censor what I read or view in the privacy of my own home. I am responsible for these products when I receive them.

Signed:

 

Dated:

 

 

 

 

 

 

 

 

Please allow 6-8 weeks for delivery

Check if you would like a "Reveal It" catalog sent to you when it is available

Check if you would like to be on Madam X's mailing listand/or Her email list
email address____________________

Check if you would like to be informed when Madam X or members of Her studio are visiting your area:
by telephone________________________
by fax ____________________________
by mail ___________________________

 

Go to product descriptions