toegasms Subscription Form

	
	Thanks for your interest in toegasms. To join by mail, please
	print this form and send it with your payment to join toegasms.
	PLEASE write VERY clearly!
	
	
	PART ONE your info
	
	Email address       _____________________ @ ________________________ (print clearly!)
	
	
	First and last name ________________________________________________
	
	


	Now choose a username!
	
	Please enter two choices in case the first one is taken.
	(6 to 10 characters long, and should contain only letters and/or numbers)


	 first choice: 1) _______________________________________________
	
	
	second choice: 2) _______________________________________________
	
	
	
	Password  __________________________________________
	
	(also 6 to 10 characters long, and contain only letters and/or numbers)
	
	
	
	
	
	PART TWO pick the membership term
	
	
	We accept payment in cash, money order or cashier's check (bank check).
	We can't accept personal checks-- please do not send them.
	Checks should be drawn in U.S. dollars and made payable to "THEXIS LLC".
	
	___ 30 Day membership for $30 US Dollars

	___ 90 Day membership for $80 US Dollars

	___ 180 Day membership for $140 US Dollars

	___ 1 Year membership for $250 US Dollars
	
	
	
	
	PART THREE sign and mail!
	
	By signing below I state that I am 18 years or older and wish to view
	adult material. By signing I also state that adult material does not
	offend me in any way and I am not accessing toegasms from any country
	or geographical area where adult material is specifically prohibited or
	deemed "obscene". If I am mailing cash, I understand there is a risk of
	losing cash in the mail, and I agree and understand that toegasms
	is not responsible for lost mail.

	Do not sign this form unless you UNDERSTAND and AGREE TO the above declarations.




	X _________________________________________________
	  (signature and date)
	
	
	
	Finally, print this page and mail it to:
	
	Thexis, LLC
	15029 N Thompson Peak Pkwy
	Suite B111-495
	Scottsdale, AZ 85260
	UNITED STATES


	Remember, we can't accept personal checks (sorry!). Please send a cashier's check
	or money order.	
	
	As soon as we receive your payment, we'll upgrade your account and send you an email to let you know.