TO JOIN BY MAIL USING CASH, CHECK OR MONEY ORDER SIMPLY
PRINT AND COMPLETE THIS FORM AND SEND IT ALONG WITH PAYMENT TO:
*NOTE:
I will e-mail your username and password to you the same day I receive
payment if you choose to pay with cash or money order. However,
if you choose to pay with a check I will e-mail your username and
password only after your check has cleared my bank (usually 10 -
14 business days). |
CIRCLE
A MEMBERSHIP OPTION BELOW:
1
MONTH FOR $35.00 |
OR |
2
MONTHS FOR $65.00 |
OR |
3
MONTHS FOR $95.00 |
PLEASE NOTE: All information
submitted will remain strictly confidential and will not be
sold, traded, or distributed in any way. You will NEVER receive any unsolicited
material.
The e-mail address you submit below will be used to e-mail your username
and password.
Name:
_______________________________________________________________ |
E-Mail
Address: _______________________________________________________ |
Desired
Username (8-12 characters): _______________________________________ |
Desired
Password (8-12 characters): _______________________________________ |
Signature:
_________________________________ Date: ______________________ |
By
signing above I declare under the penalty of perjury to the following: I am at least 18 years of age and it is legal for me to view this material. I will not exhibit this material to minors. I personally warrant that the material I am requesting access to 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. |
|
PLEASE
MAKE CHECK OR MONEY ORDER PAYABLE TO:  |
If you have any questions or concerns regarding the join by mail
process you can drop me a line at: webmaster@naughtyjulie.com
|