RopExpert Membership Mail Order Form

To order RopExpert membership by money order or check please make your check payable to Fitness House, complete the following information, and mail to: (this form can be printed or you can provide the information any way you wish. No membership will be activated until the signed statement below has been received)

Fitness House Productions
PO Box 720
Astoria, Oregon 97103

Please Check Desired Level of Membership :
_____ 1 month Combo Membership $39.95  RopeExpert, HeelsandRope & RopExpertVideos
_____ 3 month Combo Membership $69.95  RopeExpert, HeelsandRope & RopExpertVideos
_____ 12 month Combo Membership $199.95  RopeExpert, HeelsandRope, RopExpertVideos
RopExpert.com ONLY
_____ 1 year $99.95
_____ 3 months $59.95
_____ 1 months $29.95
RopExpertVidoes.com ONLY
_____ 1 year $99.95
_____ 3 months $49.95
_____ 1 months $19.95
HeelsAndRope.com ONLY
_____ 1 year $99.95
_____ 3 months $49.95
_____ 1 months $19.95
          
Desired:
User Name ___________________
Password _____________________

Read and sign statement:
My signature below certifies that I am an adult, 18 years of age or older, and am lawfully
entitled to receive, access and/or view adult materials in the community where I live. I understand that I am requesting material of an adult nature. I believe this material to be within the community standards of the area in which I live. I agree to not duplicate materials I receive or access. I certify that I will not share this material with, or show this material to, any other persons. I certify under penalty of perjury that all of the aforementioned is true and correct to the best of my knowledge.

Signature____________________________________________________________

Print: Name__________________________________________________________

E-Mail Address ______________________________________________________

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