Scott Steiner's Freak Club Membership by Mail or Fax

Membership Options: monthly @ $9.95

3 months @ $26.95 | 6 months @ $51.95

Special Offer! 1 year plus FREE autographed photo @ $99.95

A savings of $79.45!!

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Name

Address

City, State, Zip ,

E-Mail (must be included or we cannot send your username and password)

Check one: Fax | Postal Mail

Postal Mail: Check | Money Order | Credit Card

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Credit Card Information

Visa | MasterCard

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Expiration Date

Signature

I agree to the terms and conditions listed on the web-site. www.bootydaddy.com/account/options.htm

FAX Customers: Complete, print out and fax this form to: (805) 499-4GUNS

Postal Customers: Complete, print out and send a check or money order along with this form to:

BootyDaddy.com
PO Box 902
Newbury Park, CA 91320

Please make payments payable to: BootyDaddy.com

If paying by check or money order, to ensure that your membership does not get cancelled, make sure that we receive your payment 5 days prior to your membership expiration date.