Mail order subscription form for site membership -  1 year for 249.99

Print this form and fill it out completely.

Mail to: MIB POB 42430 Pittsburgh PA 15203 USA

I will be determining your username and password, and emailing you log in instructions.

Your credit card charge of 249.99 will appear "MIB Productions"

Make checks or Money Orders payable to MIB Productions

If you are also buying DVDs (buy 3 get 1 free for members) your charge will be 379.84 (includes S&H)

Full name:

Address:

City, State, Country, Postal code:

 

Email address if applicable:

Phone number:

I may need to call you to ensure that your card is not being used fraudulently (make sure that you are the card holder), so make sure this is a number you can receive call at.

WEBSITE IS FOR VIEWING BY LEGAL ADULTS ONLY

I am over 18 years of age. This is adult material with bondage and discipline themes. I am aware of my local laws and am taking full liability for website contents.

Signature:                                                                                           Date:

Subscriptions Available By Mail:

Payment method: Check , Money Order or

CC _____ _____ _____ _____ exp. date:_____ _____

The security code on the back of your credit card:_________

The billing address for your credit card:

If you would also like to order DVDs, you can buy 3 and get 1 free as a member

Select your 4 DVD here

Please write your choices here

1)

2)

3)

4)

You will also be receiving VOD access

Your login instructions will be emailed or mailed to you.

Mail to: MIB POB 42430 Pittsburgh PA 15203 USA