www.dirtydirector.com
JOIN BY MAIL FORM
Please print out the following form, fill it out "neatly" payable to Southbound Productions, attach cash or money order and mail to:
MAIL BOX NOW CLOSED
_______________________________________________
NAME: _____________________________________________________________
Street Address:________________________________________________________
City/Town:___________________________________________________________
State/Providence:______________________________________________________
Country:_____________________________________________________________
Postal Zip Code:________________________
e-mail Address:________________________________________________________
The added effort to manually create an account forces us to raise the membership dues by 5.00:
Subscription length Desired:
30 day membership ________ $35.00 U.S. Dollars
6 month membership________$100.00 U.S. Dollars
Username:__________________ (max of 8 characters)
Password:___________________(max of 8 characters)
YOU WILL BE NOTIFIED BY E-MAIL AS SOON AS YOUR ACCOUNT IS ACTIVATED.
I CERTIFY UNDER THE PENALTY OF PERJURY THAT
I AM OF LEGAL AGE IN MY AREA OF RESIDENCE TO VIEW IMAGES AND
TEXT MEANT FOR MATURE AND ADULT AUDIENCES.
SIGNED:________________________________________
DATE:__________________