Membership

Here is what you get in your
Membership Package

Product Item	Normal Price	Member Price
120 Women's Addresses	420.00	FREE! (10 per month)
25.00 We add to your mailforwarding account	25.00	FREE!

You save €342 !

Check box below for order our membership!
Fill out the order form below & begin to save!
Please complete the following form to place your order.

ORDER FORM
From this page you will be taken to a secure server for online processing of your transaction.
Select the item(s) below that you would like to order.

1 year Membership (€ 130.00):

GENERAL BILLING INFORMATION

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If we already have your billing information, fill in this form.
(Lost your Password? Enter your email address and press continue -- it will be emailed to you)

Email Address:

Password:

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If you are new to our service
Please provide the following billing infomation for our internal records
([TAB] and [SHIFT+TAB] move the cursor in the form)

First Name:
Last Name:
Address:
City:
State:	Zip: Outside the USA use NA for a state
Country:
Phone Number:
Your Email address must be your real Email as the information you order will be sent to it. You may change your Email address at any time.
E-Mail:
Please provide an alpha-numeric password. Use a combination of at least 6 letters and number with no spaces
Password:
Retype Password: