For the ultimate in anonymity and the cheapest way to get a membership!

If you want to join by check, cash or money order, just fill out this form and send it in!

Membership is $20.00 for 6 weeks (this is easier for most people and a better dollar/day deal than the normal signup), so please include sufficient payment for the number of months that you want to join.

We ALWAYS prefer US cash but any checks or money orders must be payable in US dollars. 


Six Week Membership                    = $20.00 x ____ = $____________

               *** PLEASE PRINT CLEARLY ***

	If I can't read it, I'll wait until you contact me.



Email address:___________________________________________________



By signing below, I certify that I am at least 18 years of age and agree to the 'Terms and Conditions' listed on the site www.EliseErotic.com.

Signed:______________________________ Date:___________________


Mail your order and payment to:

Elise Online
PO 4271
Seminole,FL 33775

If you have any questions about your account please contact "webmaster at eliseerotic.com"

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