Red's-Realm Membership Mail Order
Form
For membership in Reds-Realm please print and mail the
following information with a check or money order payable (in U.S. dollars
only) to:
Reds-Realm
PO Box 447
Arlington TX 76004-0447
USA
_____ 1 months $10.99
_____ 3 months $27.99
_____ 6 months $50.99 save!
_____12 months $99.99 almost 2 months free!
Username ___________________ (Please Print 5 - 12 characters)
Password ___________________ (Please Print 5 - 12 characters)
Read and sign statement:
My signature below certifies that I am an adult, 18 years
of age or older, and am lawfully entitled to receive, access and/or view
adult materials in the community where I live. I understand that I am
requesting material of an adult nature. I believe this material to be
within the community standards of the area in which I live. I agree to not
duplicate materials I receive or access. I certify that I will not share
this material with, or show this material to, any other persons. I have read and
agree with the User Agreement and Legal Notices. I certify
under penalty of perjury that all of the aforementioned is true and
correct to the best of my knowledge.
Signature___________________________________________________________
Print Name_________________________________________________________
E-Mail Address _____________________________________________________
Please read
Our Privacy
Policy and the User Agreement and Legal Notices.
No membership will be activated until the signed statement above has been
received. |