NO ORDER WILL BE FILLED WITHOUT SIGNATURE
AND PHOTOCOPY OF PICTURE I.D.
Your information will not be used for any
purpose other than age verification!!!
Please make
Money Orders & Personal Check payable to "GL Media Group"
Print out this Order Form & Send With Money
Order, Cash or Personal Check to:
"GL Media Group"
8362 Pines Blvd. Suite 145
Pembroke Pines, FL 33024
donlarge@gmail.com
Name: ___________________________________________
***E-mail address:_____________________________________
(your password will be verified by return email)
Subscription Membership to "DonLarge.com"
Circle desired option:
1 month - $27.00 (non recurring)
2 months - $35.00 (non recurring)
6 months- $85.00 (non recurring)
1 year- $125.00 (non recurring)
Signature:___________________________________
(certifies you are at least 18 years old (21 in some localities),
and can legally view adult material)
PLEASE NOTE! NO ORDER WILL BE FILLED WITHOUT
SIGNATURE AND PHOTOCOPY OF PICTURE ID!
*Passwords will be issued after
funds are received.
**US Postal Service Recommends you not send cash
in the mail, send at own risk.
*** PLEASE do not forget your email address! This
is how you'll receive your use id & password