Male and She-Male "Hip"
Chastity Belt Measuring Kit
Order Form
FIRST NAME______________________LAST NAME__________________________
STREET________________________ZIP____________CITY_________________
STATE___________________________SEX___female/male_______
TELEPHONE/FAX______________________ E-MAIL______________________________
HEIGHT_______________________cm_____WEIGHT__________kg___
MY ORDER: (Description, Item and Price please look up Pricelists)
| Amount | Description | Item | Price | Total |
|---|---|---|---|---|
| Shipping and Packaging | ||||
| Product changes are reserved by Neosteel | Total |
Prepayment payable to Neosteel GmbH (in EUR or US$), Account No. 75152309, Postbank Hannover (BLZ 25010030), Swift code PBNKDEFFXXX (please pay fees for sender and beneficiary)
For payment by your credit card VISA / MASTERCARD / DINERS see pricelist.
I hereby waive and agree to hold harmless and indemnify Neosteel GmbH, its board of directors, officers and employees, from any and all liability, that arises from the use of Neosteel products that I order, use, or allow others to use or any illegal use. I, the undersigned hereby certify that I am over 21 years of age, fully understand that Neosteel products I am ordering may be considered sexually oriented like staying chaste, chastisement, adult training and bdsm, and there are no local laws restricting my purchase or possession of the items I have ordered. I have read this waiver and agree to be bound by its terms.
CITY____________________DATE____________SIGNATURE_________________
Neosteel GmbH, Bornstr. 8, D-57629 Malberg, Germany, Tel./Fax
0049-2747-912376
Website: www.neosteel.de, e-mail: info@neosteel.de
Geschäftsführer / Managers: Astrid Mende, Dr. Reinhold Mende
Handelsregister / Trade Register: 6 HRB 6298 Montabaur, Germany
Ust-IdNr. / VAT IdNo. DE204705329
Measurements for ordering the Male and She-Male Hip Chastity Belt Measuring Kit
You can order it by fax or letter with the Male Hip Chastity Belt Measuring Kit Order Form, and we will directly mail (when prepaid) the Chastity Belt Measuring Kit together with instructions and Instruction Videos on CD to your address. What we need, however, are the following roughly taken measurements (please fill in):
The hip is the region of your body between waist and upper end of the thighs.
1. Hip circumference (tighten a strong leather belt around your hip that it cannot be pushed down over the buttock)_________________cm
2. Center hip front over the scrotum sac, between the testicles, beside the penis, through the step to rear center hip (bottom edge of the leather belt in front to bottom edge of the leather belt in the rear) ___________cm
3. Center hip front (bottom edge of the leather belt) down to top of base of penis__________cm
to choose the right size of the Chastity Belt
Measuring Kit for you - for we do not know if you are a Twiggy or Hercules
type. If you order a Neosteel Chastity Belt we will reimburse you EUR 20.00
or US$ 20.00 !
Link to Neosteel´s Chastity Belt Page
Page updated April 17, 2008