| TO APPLY FOR A LATINBOYZ.COM MEMBERSHIP BY MAIL FOLLOW THESE INSTRUCTIONS: | ||||||||
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LatinBoyz.Com Hottest Homeboyz on the Net |
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| KLKLA Services, Inc. 3440 Wilshire Blvd #1114 Los Angeles, CA 90010 |
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| NOTE: Payment must be in U.S. funds:
CHECK OR MONEY ORDER REGISTRATION (Print this form and mail to address above): ========================================================================== Your name: __________________________________________________________________________ Full EMail address: ___________________________________________________________________ Full mailing address:___________________________________________________________________ ____________________________________________________________________________________ Desired username (4 to 8 characters): ____________________________________________________ Desired password (4 to 8 characters): ____________________________________________________ Membership Term: _____ One Month $19.99 _____ Three months $44.99 (Save 25%) _____ One Year $149.99 (Save 35%) I have included a check or money order for the membership term that I have marked. I certify that I am 18 years of age or older and have included a legible form of ID that shows proof of my age. I have reviewed and agree to the Terms of Agreement listed at the following URL: http://www.latinboyz.com/terms.html Signature: __________________________________________________________________ Upon receiving your Check or Money Order we will send you your password via E-Mail. Please follow instructions. If received incomplete the application, ID copy, and payment will be destroyed (shredded) and membership will not be activated. |
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