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MEMBERSHIP – MONEY ORDER - TEEN MUSCLE VIDEO
2 new options to buy a Membership at Teen Muscle Video!
If you do not wish to use your credit card on line, you can purchase:
1. Buy 1 or more (30 days) membership(s) by fax with your credit card information.
2. Send a money order to the order of: DAPI with this Form to the address below.
Please, print this Form and write in Capital Letters (no lower case please)
Mailing Address: DAPI, 8581 Santa Monica Blvd. #484 West Hollywood, CA 90069
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Name
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Address
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City
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State
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Zip Code
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Country
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Email Address
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Billing Information
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CHECK YOUR TYPE OF CARD
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Type of Card
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Visa - Amex - Diners - Discover - MasterCard - Money Order
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Card Number
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Exp Date
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Username & Password (enter the username & password) for your login
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Username
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Password
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Product Item
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Membership (30 days)
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30 Days Membership Teen Muscle Video
Quantity:
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$ 25.00 |
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Your Signature
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X____________________________ |
TOTAL $__________
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Your Credit Card will be charged the day of the activation. You'll receive an email as soon we activate your account.
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FAX YOUR ORDER TO: (310) 201-0701 or
MAIL IT WITH YOUR [MONEY ORDER] AT THE ADDRESS ABOVE.
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Print This Page by Clicking HERE
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