Red's-Realm Membership Mail Order Form

For membership in Reds-Realm please print and mail the following information with a check or money order payable (in U.S. dollars only) to:

Robert E. Daly
8086 Fm 138
Center TX 75935-7860
USA

_____  1 months $10.99
_____  3 months $27.99
_____  6 months $50.99 save!
_____12 months $99.99 almost 2 months free!

Username ___________________ (Please Print 5 - 12 characters)
Password  ___________________ (Please Print 5 - 12 characters)

Read and sign statement:

My signature below certifies that I am an adult, 18 years of age or older, and am lawfully entitled to receive, access and/or view adult materials in the community where I live. I understand that I am requesting material of an adult nature. I believe this material to be within the community standards of the area in which I live. I agree to not duplicate materials I receive or access. I certify that I will not share this material with, or show this material to, any other persons. I have read and agree with the User Agreement and Legal Notices. I certify under penalty of perjury that all of the aforementioned is true and correct to the best of my knowledge.

Signature___________________________________________________________

Print Name_________________________________________________________

E-Mail Address _____________________________________________________

Please read Our Privacy Policy and the User Agreement and Legal Notices.
No membership will be activated until the signed statement above has been received.