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GENERAL: Print this subscription form out and fill in the information below with the type of subscription you want. Choose from the following methods of delivery back to LILC:
Be sure to include the correct amount of cash, check or money order. E-mail orders will be held for processing until payment (this is done immediately for E-Mailed Credit Card Orders with valid information). All orders please include an E-mail address and phone number. We will need to contact you when the order is processed. If sending E-mail you will need to confirm that your are 18 (or older depending on the age of majority in your location) and that you certify us to subscribe you to WHEELCHAIR GIRLS ARCHIVE. CASH/CHECK OR MONEY ORDER: Make sure Check and Money Orders are made out to: CASH. The checks and money orders must be in US Dollars. Checks and MONEY orders must be drawn from US banks only. Sorry, but US banks charge a fortune to process International checks and Money Orders. CREDIT CARD ORDERS: Be sure to sign the faxed Credit Card authorization for faxed or mailed orders. For E-Mailed orders you will be E-Mail replied to in order to confirm the order prior to processing. Be sure the address provide is where your Credit Card invoices are billed to complete authorization successfully. Please allow 1-2 weeks to process off-line orders -- Subscriptions are processed when payment and information below. |
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Sign
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First
Name:
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Last
Name:
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code:
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| Phone Number: | ________________________________ | ||
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Subscription
Options:
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E-mail
address:
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Product
Description:
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* Wheelchair Cast Girls Variety Archive * | ||
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a Username:
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________________________________ Must be 6 - 8 Characters. |
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a Password:
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________________________________ Must 6 - 8 Characters, cannot be the same as you username. |
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I herebye, certify that
I am 18 (or the legal age of majority required in your jurisdiction)
and authorize you to subscribe me to Wheelchair cast girls Archive based
on the subscription & payment information provided. I have read
and agree to the Terms and Conditions outlined to become a subscriber.
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FOR CREDIT CARD SUBSCRIBERS ONLY: PLEASE FILL OUT INFORMATION BELOW*
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