Please click here and send an email,  I'll start making your machine now.    

Your Name:_________________________________________________________________

Your Email Address: _____________________________________________required

Your area code and telephone number :_( ________)_______________________________required

Name on Credit Card - exactly_____________________________________________

Credit Card Number _____________________________________________

Expiration Date of Card MM/YY_____________________________________________

Billing Address - Street Name and Number_____________________________________________

Billing Address - Apartment or Lot Number _____________________________________________

Billing Address - City_____________________________________________

Billing Address - State_____________________________________________

Billing Address - County for sales tax (only if in Georgia) __________________________________

Billing Address - Zip Code________________________________

Billing Address - Country_______________________________________

If Billing and Shipping Address are the same, leave boxes below empty. Otherwise, complete "Ship to" blocks.  No Post Office Boxes.

Ship to - Street Name and Number _____________________________________________

Ship to - Apartment or Lot Number_____________________________________________

Ship to - City_____________________________________________

Ship to - State_____________________________________________

Ship to - County for sales tax (only if in Georgia)_______________________

Ship to - Zip Code_____________________________________________

Ship to Address - Country_______________________________________

I want a DVD: (check box)     [  ]  (add $15)

    MPEG Movie   DVD is approximately 41 minutes long.  Plays on your computer.  Three women ride.

Single-Dildo Jetaime (check one)  Comes with one 2" dildo holder.    You MUST order one dildo..

   [  ]     Credit card     $1260.00   Pay in Full

   [  ]     Credit card     $1260.00   Pay with 4-month plan  (See details below)

   [  ]     Check, or money order     $1225.00  USA only  The credit card company charges me 3% or more.  I'll give the savings to you.

Double-Dildo Jetaime (check one)

Comes with two 2" dildo holders.  You MUST order two dildos..

   [  ]      Credit card   $1465.00  Pay in Full

   [  ]     Credit card     $1465.00   Pay with 4-month plan  (See details below)

   [  ]      Check, money order   $1425.00   USA only   The credit card company charges me 3% or more.  I'll give the savings to you.

I want to order a Jetaime Masturbation Machine with the following modifications: (check)

                      [  ] buy one 9x2 inch non vibrating dong (add $15)           Cut dildo to length ________ inches.  

                      [  ] buy two 9x2 inch non vibrating dongs (add $30)           Cut dildo to length ____and ____ inches.

                      [  ] buy one vibrating dildo (add $35)

                      [  ] buy two vibrating dildos (add $70)

                      [  ]  Add Jack OFF Attachment for Fleshlight (add $25)   Fleshlight sold by the Fleshlight company.

                      [  ] buy ______ bottles of Smooth & Slick Lubricant 8 oz (add $10 each

  [  ]  Add BDSM Kit (add $25)

  [  ] one extra 2.5" dildo holder. (add $25)

   [  ] add one extender for 2" dildo holder (add $15)

  [  ] add one extender for 2.5" dildo holder  (Requires 2.5 " holder) (add $15)

  [  ] one Vac-U-Loc Plate for 2" diameter extension (add $15)

  [  ] one Vac-U-Loc Plate for 2.5" diameter extension (add $15)

   [  ] buy 1 Eroscillator 2 Plus,   includes mounting straps (add $140)

  [  ] buy  mounting straps only for your own Eroscillator (add $10

Georgia Residents must also pay sales tax.  Sales tax based upon Ga county Jetaime delivered to.

You only pay $45 shipping to anywhere in the world.   We custom build each machine per your order.  Go to http://www.ups.com to check rates of a 36 pound box for single dildo model and 40 pounds for double model,  "customer counter", "your packing", from zip 31408  Foreign customers must pay import duties and taxes.  DVD price includes S&H.

Dildos, vibrators, and the Eroscillator are not returnable.

Comments or Special Shipping Instructions:_____________________________________________________________

__________________________________________________________________________________________

[  ] I want to use the 4-month payment plan.

I agree to pay $400.00 immediately, and then for the next three months pay 1/3 of the balance.
For example, if the order totals  $1400.00,  you will pay: $400.00, $333.33, $333.33,
 $333.34.  The first  payment is charged when  the machine is shipped.  You will have the machine
 immediately.  This is not a lay-a-way plan, but a 4 month mortgage with zero percent interest.

SIGNATURE:_______________________________________________________

DATE:_________________________________

Your signature authorizes E.E.E., Inc. to charge your credit card for the above ordered items. 

Did another Jetaime owner tell you about Jetaime?  Please complete the blocks below so that we may send them a sales commission.

Name of referrer:_________________________________________________________________

Address of referrer:________________________________________________________________

Email of referrer:__________________________________________________________________

Phone Number of referrer:___________________________________________________________