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:    _____________________________________________________________________

   Address:   ___________________________________________________________________

                      __________________________________________________________________

  
   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)
120 day membership______ $40.00 in U.S. or Canadian Dollars (works out to only $10/month!)
    
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 membership is activated!