ORDER


We no longer except credit cards. This is for your security and to reduce our costs

We except payment by

 Bank Transfer 

Postal Order

 Money Order

 or Cheque.

Simply print out this page and post the completed form together with your payment to

Glassdrummond House

200, glassdrummond road,

Annalong

County Down

United Kingdom

Bt20 3er

Items in red are required information.

 Select the item(s) below that you would like to order.

1 year membership ($120 USD)

1 address ($10.00), Quantity

2-3 addresses ($9.00 each), Quantity

4-5 addresses ($8.00 each), Quantity

6-7 addresses ($7.00 each), Quantity

8-9 addresses ($6.00 each), Quantity

10 addresses and more ($5.00 each), Quantity

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Please specify id numbers of the ladies you have chosen:    

Place $25 in a mail forwarding account ($ 25.00):   
    
Place $50 in a mail forwarding account ($ 50.00):  

Place $75 in a mail forwarding account ($ 75.00):  

Place $100 in a mail forwarding account ($ 100.00):

 Other services:

Please specify what else you would like to order:
  Amount

Full Name:
Address first line:
Address second line:
City, State & Zip:
Country:
Phone Number:
Email Address:


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