Membership
by Mail
Complete this form, print, and mail
along with your cashiers check, money order, or personal check
to
Eurobahia Partners Ltd.
P.O. Box 11434, Merrillville, IN 46410 U.S.A.
IMPORTANT
- Select a username and password for backdoorgirl.com.
Remember, both are case sensitive.
Username:_________________________ Password:_________________________
- Email Address:_______________________
- Make checks payable to Eurobahia Partners
Ltd. Payment by cashiers check
or money order will activate your membership upon receipt, personal
checks may take up to 10 days from receipt before membership
is activated.
Include your payment of $34.95 for 30 day membership,
$54.95 for 90 day membership,
or $59.95 for a one year membership. |
PLEASE
REVIEW THE FOLLOWING
- I am at least 21 years of age;
- The material I'm viewing is for my own
personal use and isn't to be viewed by minors or anyone else
but myself;
- I am not a U.S. POSTAL OFFICIAL or LAW
ENFORCEMENT AGENT or acting as an agent thereof, attempting to
obtain any evidence for the prosecution of any individual or
CORPORATION or for the purpose of entrapment;
- I desire to receive and haven't notified
the POSTAL SERVICE or any OTHER, GOVERNMENTAL AGENCY to intercept
sexually explicit material
- I can stop receiving such material at
any time by logging off now and not returning;
- I believe, that as an adult, I've the
unalienable right to read and/or view any type of material that
I choose;
- That at no time, will minors be subjected
to said material of any kind;
- By going to the home page and/or by looking
at anything on this site you are agreeing that the material contained
herein is not obscene or offensive in any way nor could ever
be construed to be so, nor could any sexually explicit material
of any kind ever be considered obscene or offensive. You also
certifying that the material presented here is not illegal or
considered obscene in your street, village, community, city,
state, province or country.
All of the above is understood and the following is true.
I ACCEPT ALL RESPONSIBILITY
I also release backdoorgirl.com and my internet
service provider from all liability.
Signature ______________________________
CUSTOMER
INFORMATION
Name __________________________________________________
Address __________________________________________________
Address __________________________________________________
City ______________________________
State __________ Zip __________
Phone _________________________
Fax _________________________