NO ORDER WILL BE FILLED WITHOUT SIGNATURE AND PHOTOCOPY OF PICTURE I

NO ORDER WILL BE FILLED WITHOUT SIGNATURE AND PHOTOCOPY OF PICTURE I.D.

Please make Money Orders payable to "RKCJ Hall"

Print out this Order Form & Send With *Money Orders, or **Cash (no personal checks) to:

RKCJ Hall

P.O. Box 2729

Key West, FL 33040

Name: ___________________________________________

***E-mail address:_____________________________________
(your password will be verified by return email)

Membership in "Diva / Femina"

Circle desired option:

1 month - $39.00 (non recurring)

1 year- $79.00 (non recurring)

Signature:___________________________________
(certifies you are at least 18 years old (21 in some localities),
and can legally view adult material)
PLEASE NOTE: NO ORDER WILL BE FILLED WITHOUT
SIGNATURE AND PHOTOCOPY OF PICTURE I.D.

*Passwords will be issued after money order is cashed

**US Postal Service Recommends you not send cash in the mail, send at own risk

*** Don't forget your email address.....that is how you will get your use id & password