SpankingCentral Premium
Mail Order Sign-up

Print out and mail this form along with your payment to:

GPI
5757 E. Clinton Ave, STE 118
Fresno, CA 93727-1338
USA
(Allow 1 - 4 weeks for activation due to occassional postal mail delivery delays)


Please check your choice:

Option 1: (One-time-only) ___ I wish to subscribe for a one-time period of 3 months (90 days) for $99.00 USD.

Option 2: (Recurring) ___ I wish to subscribe for an intitial period of 3 months (90 days) for $99.00 USD, then continuing at $30 per month. *

Option 3: (One-time-only) ___ I wish to subscribe for a one-time period of 6 months (180 days) for $149.00 USD.

Option 4: (Recurring) ___ I wish to subscribe for an intitial period of 6 months (180 days) for $149.00 USD, then continuing at $25 per month. *

Option 5: (One-time-only) ___ I wish to subscribe for a one-time period of 12 months (365 days) for $239.00 USD.

Option 6: (Recurring) ___ I wish to subscribe for an intitial period of 12 months (365 days) for $239.00 USD, then continuing at $20 per month. *

* Cancel at any time after the initial period has been completed. Recurring monthly billing requires credit card for payment.

Payment enclosed:  ___Cash    ___Check (Payable to: GPI)   ___Money Order   ___Credit Card

Note: U.S currency only if paying by cash, check or money order! Credit card purchases will automatically convert to other currencies based upon current conversion rates. Send cash at your own risk.

Credit card # (VISA, Mastercard, Discover, Amex or Debit/Check Cards with Visa or Mastercard logo): ___________________________________
Credit Card Exp. Date: ___________
CVV2 Security Code: ___________
Name as it appears on Credit Card: _________________________________

Allow 1 - 4 weeks for activation due to occassional postal mail delivery delays. Personal & business checks require an addional one-week delay for funding. I will notify you by email the same day your account is activated. Be sure to include your email address below!

I certify that I am at least 18 years of age (sign here):__________________
Email address so we can notify you of your activation (PRINT VERY LEGIBLY): ___________________________
Your preferred User Name (from 6 to 12 characters, case-sensitive): ____________ (optional)
Your preferred Password (from 6 to 12 characters, case-sensitive): ____________ (optional)