fax and postal mail order form

Print this form and mail to:

JAY EDWARDS
4939 W RAY RD STE 4132
CHANDLER AZ 85226

 

                             NAME ________________________________________________

                             ADDRESS ____________________________________________

                                              ____________________________________________
                   
                                              ____________________________________________
  
       YOUR EMAIL ADDRESS
_____________________________________________________________ (required)
                                    (Without the email address, we cannot send you a password)                                    

PAYMENT OPTIONS:

 Cash    Money Order   Check   Visa   MasterCard

SUBSCRIPTION OPTIONS: check one

       ____1 month $19.50   ____3month $49.50    

CREDIT CARD NUMBER ______________________________  EXP DATE ________ CVV2 CODE _______

Checks payable to "JAY EDWARDS".   Charges appear on your statement as "Bond Group Ltd".  Subscriptions billed to credit cards are renewed automatically at the end of each corresponding subscription period.  Due to the subscription-type nature of this service, REFUNDS ARE NOT OFFERED.  Within a few days, your personal password will be sent to the email address you have provided above. Your password is intended for your personal and private use only.  Each password assigned through this system remains the property of Bond Group Ltd. and may be revoked at any time due to misuse or abuse, causing termination of your membership with no refund.  Your membership entitles you to view and/or download images for your personal and private use only.  All images and content in the site are copyrighted and may not be redistributed or used in any way without the expressed written permission of bondagepictures.com.  Posting of any part of these images to newsgroups or other sites will result in the revocation of your membership and possible civil and criminal prosecution

I hereby certify that I am 18 years of age or older and aware that you are sending sexually-oriented material which is for my own individual use and will not be resold, copied, or in any way distributed by me, including to minors.  I further state and agree that this material complies with my local community standards.

SIGNATURE_____________________________________  (Required for ALL orders)


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