Membership by Mail

Discount Interracial Pass

Purchase Membership by Mail

***Please make sure all information clearly appears when printed. Include this form with your cash, check or money order.

Account Information (Please fill all fields)

First name :
Last name:
Email address:
Preferred Username:		or
Preferred Password:
Renewal:	(Check if you are renewing your membership)

Membership Type (Check only one please)

30 Days Membership - $39.95 USD	30 Days Membership - $60.00 *CND*
90 Days Membership - $79.95 USD	90 Days Membership - $120.00 *CND*
180 Days Membership - $119.95 USD	180 Days Membership - $180.00 CND
12 Months Membership - $159.95 USD	12 Months Membership - *$240.00 CND*

Please make your check or money order payable to: MARKETING EXTENSIONS INC.

Please mail your cash, check or money order to:

Marketing Extensions Inc.
99 Atlantic Ave. Suite 204
Toronto, Ontario, Canada
M6K 3J8

By signing below you hereby swear that you are of at least eighteen (18) years of age (21 in some jurisdictions) and have legal capacity to enter into agreements of this nature. You further represent and warrant that you understand the nature of the content published by Marketing Extensions, namely, sexually explicit material and you voluntarily and knowingly choose to view such material.

Sign here:_______________________________ Date:____________