Fax orders for Dawn's Place LLC :

If you would like to pay for your membership by credit card via fax, please print out this page and fill in the items. Please remember to sign the bottom of this page.

Fax Number: 1-661-257-0914

Username ___________________________ Credit card # _____________________________

Password ___________________________ Expiration date____________________________

CVV2# ______________________________

First Name ______________________________ Last Name _____________________________

Address ____________________________________ City ____________________________

State___________________________________ Zip/Postal Code ______________________

Country ____________________________________________________

Birth Date ___________________________________________________

Drivers License # ___________________________________________________

Order Option Selection - $29.95/Month Recurring, $39.90/2 months Recurring
$89.95/3 months Non recurring, $250/12 months Non-Recurring

___________________________________________________

 

I declare under the penalty of perjury to the following:

I am at least 21 years of age.
I will not exhibit this material to any minors.
I personally warrant that the material I am requesting is acceptable >and meets my community standards.

I am not affiliated with any postal or law enforcement agency.
I am not placing an order for the purpose of entrapment.

I agree to the terms and conditions listed on the website.

By placing a credit card order online, you infer compliance with the above statement.

Signature ___________________________________________________

Feel free to call once you send the fax, to confirm that your fax has been received.

Click here to read the terms and conditions.