Print this form out, complete it and mail it to us. We will then process your application. We prefer money orders but will accept U.S. currency, check (require seven days to clear) or money order (immediate processing of orders) made out to:
***Also, enclose a photocopy of proof of age (18+, or 21 where required by law) - government-issued photo ID.
***Please include a
self-addressed, stamped envelope if you would like is to
"snail-mail" your username and password instead of e-mailing
them to you.
| Item | Price | Check here to order |
| One month membership | $19.00 | [ ] |
| Three month membership | $57.00 | [
]
|
| Six month membership
Includes two FREE DVDs of your favorite two SpiceShot Girls. You can order now or wait until you see other girls during your one year membership. |
$109.00 | [
]
Girl for DVD ______________ ______________ |
| Twelve month membership
Includes two FREE DVDs of SpiceShot Girls. You can order now or wait until you see other girls during your one year membership. |
$189.00 | [
]
Girls for DVD ______________ ______________ |
| DVD featuring photos & video
Girl's name ______________________ |
usually $24.95 each [Illinois residents add 7.5% [$1.87] sales tax for each] |
[ ] |
| CD featuring photos
Girl's name ______________________ |
usually $14.95 each [Illinois residents add 7.5% [$1.12] sales tax for each] |
[ ] |
| Total Items: | Order total
>>>>>>>>>>> (shipping and handling included!) |
|
Name:
Address:__________________________________ City:_________________ State: _____ Zip: _________
Telephone (optional, but will speed resolution of questions about your order. We will be discreet.): ______________
EMAIL ADDRESS (required for SUBSCRIPTIONS): _________________@_______________________ .