Video-Candy Order Form
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 Order or **Cash
(no personal checks) to:
RKCJ Hall
P.O. Box 2729
Key West, FL 33045
Name: ___________________________________________
***E-mail address:_____________________________________
(your password will be verified by return email)
Membership in "VIDEO-CANDY VIDEO ON DEMAND"
1 month - $25.00 (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