To join Maria's Foot Torture via snail mail
please print and fill out the form below and mail to:

PJ's Creations
20663 SW Nanutcket Lane
Beaverton, OR 97006

Name __________________________________
(Please Print)
Address ________________________________
________________________________________
________________________________________

E-Mail _________________________________
(Your username and password will be sent to you via this e-mail so double check and make sure that it is right.)

Check your membership option below.

________ 1 Month Membership (non-recurring) $19.95
________ 3 Month Membership (non-recurring) $40.95
Once your payment is recieved your username and password will be e-mailed to you.

Payment Options (Please Check one): _____ Check _____ Money Order

Additional charge for NSF Checks will be $40.00

Total amount enclosed ______________

Make Checks and Money Orders payable to Phil Nardi.

I hereby certify that I am 18 years of age or older and aware that you are sending sexually-oriented material which is for my own individual use and will not be resold, copied, or in any way distributed by me, including to minors. I further state and agree that this material complies with my local community standards.

SIGNATURE_________________________________________ Date___________

(Required for ALL MEMBERSHIPS)