Authorization: By signing this form I declare that: (1) I am an adult, 18 years of age or older. (2) I am requesting and agree to accept sexually explicit material to be sent to me for my personal use. (3) I will not copy, sell, or exhibit these products to minors or anyone else that may be offended by them. (4) I have not requested the Post Office or any other person or agency to protect me against receipt of sexually explicit material, nor am I acting in an official capacity for any public authority of any kind. (5) I declare that all of the above statements are true and correct and hereby authorize Scentual.net to ship to me sexually explicit materials which I have ordered.

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