Zdenka's Web Site

Sexy-zdenka.com ORDER FORM

Print this form and send it with your order, or use common sense and if you can not print it form whatever reason just look through it and send some written note saying what you want, who you are etc…

Please put a check mark next to your selected options and then send a total amount owed in US or Euro funds in the form of CASH or International bank or International Money Order (or something like that , that can be redeemed in Czech Republic). Attention: Domestic money will be returned !

IMPORTANT: WHEN SENDING CASH, USE CARDBOARD ENVELOPE OR WRAP IT IN A PIECE OF PAPER SO IT IS NOT VISIBLE FROM OUTSIDE THE LETTER!

DESCRIPTION:	PRICE: USD	PRICE: EURO
1.month membership	30 USD	25 EU
3.month membership	65 USD	47 EU
6.month membership	105 USD	75 EU
1.year membership	180 USD	130 EU

Total amount of money enclosed …………………………. (Please remit in US or Euro funds)

Choose your:
username: .............................
password: .............................

I certify that:
1. I m of legal age to view adult materials in my locate Country and I understand, that the contents of Sexy-zdenka.com or Sexy-zdenka.net are of sexual nature.

2. That my membership et either of afore mentioned sites will be used for my own personal enjoyment and that I will not under any conditions share or transfer my membership. If I do so, my account might be cancelled without refund.

Name :………………………………………………….........
E-mail : …………………………………………………........
(Please be sure, that your e-mail is correct)
Country of residence: ………………………………………...
Date of Birth: ……………………………………………….....
State/Province: ……………………………………………....

Send amount in USD or EU funds to the following address. Domestic money order will be returned. All check or money orders must be made payable and send to:

Shipping address:
name: Zdenka
address: P.O.Box 27
postal code: 66451
city: Slapanice u Brna
country: Czech Republic
Europe

You will be notified be e-mail when your subscription starts. If there are any questions, don’t hesitate write me: webmaster of Zdenka

LOVE ZDENKA