Please print this page and include it with your check or money order payment (or, if you do not have access to a printer write down the statement on a sheet of paper and include it with your order).
This certifies that as of the date listed below, I am at least 18 years of age.
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Applicable to U.S. orders only.
International orders should email us at email@example.com for a shipping quote.
Please note that because some of the items we sell may be inappropriate for children, you must be 18 years old to purchase from us.
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