 Discount Membership by mail
I accept checks, money orders, and cash!
Please print out this form and mail it with your payment to the address below. Once I receive your payment I will activate your account and send you an email to confirm. It's that simple : )
Name:____________________________________________
E-Mail:___________________________________________
Birth Date:________________________________________
Please circle the subscription you would like:
Please choose a user name & password:
Letters and numbers are CaSe SeNsiTivE (please print neatly)
User Name: __________________________________________
Password:___________________________________________
Please Read, Date, & Sign:
I am a legal adult (at least 18 years of age in some areas, 21 in others) and I would like to order a membership to SeXyMissLizz's fan club. I understand that by becoming a member of this club, I will be gaining access to material that contains nudity/sexually explicit themes, and I wish to view such material. I also know that viewing such material in my locale is legal. I also understand that Miss Lizz bears no liability in the event of any misadventure from use of this web site.
Date:__________________________________
Sign:__________________________________
Mail to:
Liz Peralta (PMB 1316)
1111 First Street
Escalon CA. 95320
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s lizz