MAILING ADDRESS

AS Productions - 15467 W. Yucatan Dr. - Surprise - AZ – 85379

PLEASE NOTE: Make money order payable to M. Flores

Use this form if you want to join by cash (USD) or money order (US Postal Service Money Order only). To print this form, you will need to use the print button on your internet browser. Once completed, please mail the printed form to the address above. Once again, please make money order payable to M. Flores.

DISCLAIMER

By signing this form, I certify that I am at least 18 years old. I am aware that you are providing me with sexually oriented material which is only for my use and will not be resold or in any way be redistributed, especially to minors

PURCHASER

FIRST NAME________________________________

LAST NAME_________________________________

ADDRESS___________________________________

CITY_______________________________________

STATE________________ZIP______________

E-MAIL____________________________________________

SIGNATURE________________________________________

(Required for Disclaimer. Without this we cannot process your order)

SUBSCRIPTIONS

_____ $25.00 for 30-days of Access

_____ $45.00 for 60-days of Access

_____ $60.00 for 90-days of Access

_____ $110.00 for 180-days of Access

_____ $200.00 for 1-year of Access

PAYMENT METHOD - PLEASE CHECK ONE

______Money Order (payable to M. Flores)

______Cash (USD Only)