If you would like to pay for your membership by credit card via fax, please print out this page and fill in the items.
-----Please remember to sign the bottom of this page-----
Username __________________ Credit card # ____________________________________
Password __________________ Expiration date___________________________________
First name __________________ CVV2# ________________________________________
Last name _________________________________________________________________
Address ___________________________________________________________________
City _______________________________________________________________________
State______________________________________________________________________
Zip/Postal Code _____________________________________________________________
Country ___________________________________________________________________
Birth date __________________________________________________________________
I declare under the penalty of perjury to the following:
I am at least 21 years of age.
I will not exhibit this material to any minors.
I personally warrant that the material I am requesting is
acceptable and meets my community standards.
I am not affiliated with any postal or law enforcement agency.
I am not placing an order for the purpose of entrapment.
-----put your signature on the bottom of the printed pages-----
Cash or MO's are sent next day, personal checks are held for 7 to 10 days to clear.
By placing a credit card order online, you infer compliance with the above statement.
Feel free to e-mail or call once you fax to confirm that your fax has been received.
Click here to read the terms and conditions.
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