FANNY'S FROLICS - Membership by Mail

Please clearly fill out the following form and enclose cash or a money order (no checks). 

(Note:  if you live outside Canada, please ensure your money order is International.)

F. Browne
Box #21047
R.P.O. Southgate
Chilliwack, BC  V2P 8A9
Canada    

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  Name:           _____________________________________________________________________

   Street Address:   ___________________________________________________________________

   City/Town:      _____________________________________________________________________

   State/Province:   _____________________________     Country:     _________________________

   Zip/Postal Code:    ____________        Email address:   ____________________________________
(Your email/mailing address is held in the strictest confidence - you will never receive unsolicited mail.)

  My mail subscriptions are only for 90 days or 1 year, but I offer a special discount rate:

       90 day membership_____________ $40.00 in U.S. or Canadian Dollars  
    
   1 year membership____________ $85.00 in U.S. or Canadian Dollars
Username: _________________________ (6-16 characters)   
Password: _________________________ (6-8 characters)   
 
I certify that I am of legal age in my area of residence to view adult content.

Signed: ______________________________________________   Date: ________________________
 
        Please drop me a line at fannysnet@shaw.ca to let me know when you mailed your order.  
  I will notify you by email as soon as your account is activated!