Legal Release To Purchase Backside to the Future videos 

Backside to the Future			Backside to the Future II

(Generic release form I found on the internet to cover my butt)

CERTIFICATION STATEMENT: I certify I am over 18 years of age (or over 21, where applicable) and am requesting these sexually oriented materials. I believe the scenes described in any videos I order are within the "community standards" where I live. I certify I am not a city, state, or federal law enforcement officer for the United States nor any other country, nor a postal inspector for any country, nor am I requesting materials as evidence in prosecuting or harassing any individual or organization. Any video sent to me is for my personal use only and will not be shown to minors nor sold, traded or given to others. I have not requested any Postal Service nor anyone else to "protect" me against receiving sexually oriented material nor have I signed any forms intended to block the receipt of sexually oriented material. . I release Dave and everyone else in the world from any responsibility or liability for my purchase of these videos. 

Please print and send a copy of this form along with your payment to:

Dave Stragand
DeLorean Video
19 Mildred Street
Etna, PA  15223