Smoking Video, Ltd.

dba In Real Life Productions

PO Box 27740

Las Vegas, NV  89126

U.S.A.

__________________________________________________________________________________

 

IRL Exposed Membership Order Form

 

_____________________________________________________________________

 

_____________________________________________________________________

 

 

BILLING ADDRESS

NAME__________________________________________________________________

 

ADDRESS_______________________________________________________________

 

CITY, STATE/PROVINCE_______________________________________________________

 

ZIP/POSTAL CODE_______________________________________________________

 

COUNTRY______________________________________________________________

 

Desired Username ____________________________________

 

Desired Password ____________________________________

 

Email Address _______________________________________________________

 

CREDIT CARD____________________________________EXPIRATION DATE______

 

 

One month of access is $19.95, or you can buy 3 months for $49.95 or a full year for $140. Please make instrument of payment payable in US Dollars. We accept Master Card, Visa, American Express, Money Orders, Cashiers Checks, Travelers Checks, Personal Checks, and last but not least, Cash is accepted but not recomended.

 

Please be sure to include your correct email address above to ensure we can get you your username and password once your order is received!

 

We respect your privacy and will under no circumstances rent, sell, or otherwise release your personal information.