landofvenus and venus cam SUBSCRIPTION FORM

Land Of Venus

Subscription Form

Please print this form and send it with your payment to join the Venus OnLine Fan Club :

Email Address ____________________________________
Make sure we can read your e-mail address, or you won't receive your membership.

Complete Name ___________________________________

Country __________________________________________

Prefered Username 1) ____________ 2) ______________
Enter two choices in case one is taken.

Prefered Password _______________________________

These are the only options allowed by mail in subscription. No other options are accepted.

___ 60 days membership for $39.00 US.

___ 90 Days membership for $59.00 US.

___ 180 Days membership for $119.00 US.

___ One year membership for $130.00 US.

Fees by : Money Order _____ or Cash ______.

Your Money Order should be addressed to Vcomm Internet Service, inc.

You must sign to gain entry to Venus' Fan Club.

By signing below I state that I am 18 years or older or of legal age to view adult material. By signing I also state that adult material does not offend me in any way and I am not accessing the Venus' Fan Club from any country or geographical area where adult material is specifically prohibited.

X_________________________________________________

Submit your Subscription by general mail To:

Vcomm Internet Service, Inc
9850 S. Maryland Pkwy.
Suite 5-221
Las Vegas, Nv. 89123