Jewell Marceau
827 Hollywood Way #135
Burbank, CA 91505
     

PHOTO SITE MEMBERSHIP ORDER PAGE
(USED FOR JOINING THE PHOTO SITE VIA SNAIL MAIL ONLY)
*** NOT FOR VIDEOS !! ***

            NAME ________________________________________________

            ADDRESS ____________________________________________

                             ____________________________________________

                             ____________________________________________

      EMAIL ADDRESS_______________________________________(required)
This must be a working email address or we will not be able to provide you access to the site.  User/Password combinations are only sent via email.

                                         

           MEMBERSHIP OPTIONS

 ________   1 month membership (non-recurring)  $19.95

________   3 month membership (non-recurring)  $46.85

Once payment is received, we will email you your user/password combination.

Memberships will expire automatically

TOTAL_________
 

PAYMENT OPTIONS: check one

    ____Cash    ____Money Order   ____Check   

Checks payable to "Jewell Marceau".    
All images and content in the site are copyrighted and may not be redistributed
or used in any way without the expressed written permission of Jewell Marceau. 

I hereby certify that I am 18 years of age or older and aware that you are sending sexually-oriented material
which is for my own individual use and will not be resold, copied, or in any way distributed by me, including to minors. 
I further state and agree that this material complies with my local community standards.

SIGNATURE___________________________________________ Date___________ (Required for ALL orders..No signature no access!)