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RobertaCanyon.Com - Membership
Only $24.95 per Month!
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checks payable blank or your order will be sent back !!!
Print this page, read it, and sign it at the bottom. Be sure to
include your correct e-mail addres. Then send along with your cash,
check or money order to:
WebDyer
PO Box 130826
Tampa Fl. 33681USA
I declare under the penalty of perjury to the following:
I am at least 18 years of age, and it is legal for me to view this
material.
I will not exhibit this material to any minors.
I personally warrant that the material I am requesting is acceptable
and meets my community standards.
I am not affiliated with any postal or law enforcement agency. I
am not placing an order for the purpose of entrapment.
By signing below you are agreeing to the Terms
and Conditions.
-----put your signature on the bottom of the printed
page--------
NOTE: Your personal information will remain strictly confidential
and will not be sold or distributed. You will never receive any
unsolicited material.
Name___________________________________________________________________________
Address_________________________________________________________________________
City_____________________________________________________________________________
State__________________________________________Zip_______________________________
Complete e-mail address___________________________________________________________
Preferred Username_______________________________________________________________
Preferred Password_______________________________________________________________
Signature________________________________________________________________________
Cash or MO's are set up the next day, personal checks are held
for 10 days to clear.
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