Purchase Website Membership by Mail

Please fill out this form, print it out and mail it to our address below.
Include this form with your Money Order, Cashier's Check or Bank Draft.

Account Information: (Please fill in completely)
First Name:
Last Name:
Email Address:
Preferred Username:
Preferred Password:

Renewing a current membership? Yes No
Membership Type: 30 Days for $30 USD 120 Days for $100 USD

Please make your payment payable to: Web Wizard, Inc.
Print this page and mail it with your payment to:
Web Wizard, Inc.
PO Box 25332
Tampa, FL 33622

By Signing below you certify that you are at least eighteen (18) years of age.
You further represent and warrant that you understand that this membership includes access to sexually explicit material and you voluntarily and knowingly choose to view such material and do not find it offensive or obscene.

Signature:_____________________________ Date:________________