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You may subscribe through mail by printing and filling out this form and sending it to us along with cash, check or a money order (in US Dollars only) made out to:

Velvet Ecstasy
22209 Tioga Pl.
West Hills, CA 91304

Full Name:________________________________________________________________

Street:____________________________________________________  Apt#:_________

City:__________________________________  State:______________  Zip:___________

Phone:(_____)_________________________ Email:______________________________

IMPORTANT: Be sure to enclose clear copies of your Drivers License AND your Social Security or Bank Card for age and identity verification.

 
Please choose from these plans Price X
One Month - Non Recurring $30.00  
Three Months - Non Recurring $50.00  
Six Months - Non Recurring $70.00  
One Year - Non Recurring $100.00  

Today's Date:_____/_______/________ 

Your Birthday:_____/_______/________

I am at least 18 years old and can legally view pornographic material according to the laws of my place of residence.

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Your subscription information will be sent to the E-mail you provide above. If you have any questions E-mail: info@velvetecstasy.com. Please keep a copy of this form for your own records!

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