To Join By Snail Mail
INSTRUCTIONS FOR MAIL ORDER JOINING:
1. Type in the boxes below your name, email address, age and date of birth, today's date, and your desired username and password. 2. Print this page in it's entirety and sign it on the signature line. 3. You MUST send (along with the form), a copy of your PHOTO IDENTIFICATION! The photo ID is the ONLY way I can prove I verified your age!!! PERIOD. 4. You must send your payment in the form of cash, check, or money order (payable to '4 Star Productions'). Cash and money order payments are processed immediately, check orders within 10 days. 5. Send an email to webmaster@roxyraye.com, letting us know that you have sent payment, so we know to keep an eye out for it. |
AGE
VERIFICATION FORM
I, , am requesting access to EXPLICIT ADULT materials on the World Wide Web. I would like to freely enter the website, RoxyRaye.com, and I understand that this website contains very explicit sexual content, images, text, live video images, chat, and all medias that may be offensive to some people and also may be illegal in some areas. I understand that the sexual references and images could be found immoral to some people in my community and it is my responsibility to ensure that I am not violating any of my communities standards or laws by accessing or downloading images from this website. I
declare under the penalty of perjury to the following: By
signing below: VALID
EMAIL ADDRESS:
Attached is a copy of my photo identification (drivers license or valid photo id) |
Check
one of the following options: |
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30 days access for $25.00 |
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6 months access for $100.00 |
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3 months access for $50.00 |
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12 months access for $150.00 |
Money order or cash accounts will be processed immediately, personal checks within 7-10 business days.