NO ORDER WILL BE FILLED WITHOUT SIGNATURE AND PHOTOCOPY OF PICTURE
I.D.
Please make Money Orders payable to "RKCJ Hall"
Print out this Order Form & Send With *Money Orders, or **Cash
(no personal checks) to:
RKCJ Hall
525 35th Street
West
Palm Beach, FL 33407
Name: ___________________________________________
***E-mail address:_____________________________________
(your password will be verified by return email)
Membership in "PURE-PLEASURE"
Circle desired option:
1 month - $25.00 (non recurring)
2 months - $39.00 (non recurring)
6 months- $85.00 (non recurring)
1 year- $125.00 (non recurring)
Signature:___________________________________
(certifies you are at least 18 years old (21 in some localities),
and can legally view adult material)
PLEASE NOTE: NO ORDER WILL BE FILLED WITHOUT
SIGNATURE AND PHOTOCOPY OF PICTURE I.D.
*Passwords will be issued after money order is cashed
**US Postal Service Recommends you not send cash in the mail, send
at own risk
*** Don't forget your email address.....that is how you will get
your use id & password