Write down, in a way it's READABLE by me, your:
Full name, current E-mail address and prefered login/ password

Name: ______________________________________________

E-mail: ______________________________________________

Date: ______________________________________________

You prefer to use the following login & password:

Login:    ___________________________

P-word: ___________________________ (see bottom notes)

Please let me join 4F: The Fantastic Fantasy Females,
and become a member for the duration of:

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CHECKS/ MONEYORDERS
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______ 1 month     = 9.95 + 26.00 USD transaction* costs / € 24.95

______ 6 months   = 29.95 + 23.50 USD transaction* costs / € 37,00

______ 12 months = 42.95 + 20.00 USD transaction* costs / € 43,50

*All transaction costs are set by my bank which is of Okt. '07 a (freeking) total of 17.95€/ check. No matter the amount/ check.

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CASH (Only accepted sent through registered mail, if not and it gets "lost".... I'm not responsible).
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______ 1 month     = 9.95 USD / € 7,70

______ 6 months   = 29.95 USD / € 23,00

______ 12 months = 42.95 USD / € 33,00

I have included (and checked it was there before I sealed the enveloppe) for:

$/€ _______membership = $/€ _______ transaction costs = a total of $/€ ________ for a check/cash
(blackout whats not appropiate, leave readable what is).

(Please use a non easy to hack login and password: use 7 to 10 characters, use both upper and lower case Aa-Zz and digits 0-9. Use 2-4 digits for your login aswell as for your password. Do not use the same character sequence for your login as your password, do not even mirror it. If you supply an login/p-word sequence I think is to easy to guess, I keep the right to alter your preffered login/p-word.)