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    

---------------------------------------------------------------------------------------------------------------


  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 offer a special discount over my regular rates:

       45 day membership________ $20.00 in U.S. or Canadian Dollars (30 days + extra 15 days)
90 day membership________ $40.00 in U.S. or Canadian Dollars ($5 savings)
    
   6 months membership_______ $80.00 in U.S. or Canadian Dollars ($10 savings)
 
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!