Print and return this form please

Age verification is VERY important. NO MINORS WILL BE ALLOWED ACCESS. Since my site contains EXTREMELY graphic sexual images and content, I must receive a signed statement of age before you can enter.

AGE VERIFICATION FORM I, ____________________________, am requesting access to EXPLICIT ADULT materials on the World Wide Web. I would like to freely enter the website, http://www.bbwhouseofcajun.com I understand that this website contains very explicit sexual content, images, text, and all medias that may be offensive to some people and also may be illegal in some areas. I understand that the sexual references and images could be found immoral to some people in my community and it is my responsibility to ensure that I am not violating any of my communities standards or laws by accessing or downloading images from this website. I will NOT use these images for any reason other than my own personal education or entertainment. I will NOT show these images nor will I allow access to the content that I am about to access to minors for any reason. I take full responsibility for controlling access to my computer by minors. I will NOT allow anyone under the age of 18 to see or access this website. By signing below
I certify that I am a responsible adult, over the age of 18 years, and I am requesting access of my own free will. It is legal in my area to view the sexual content contained in this site.

EMAIL ADDRESS: ___________________________

PRINTED NAME: ____________________________

SIGNATURE: ________________________________

AGE: ______ DATE OF BIRTH: _________________

DATE: ______/_______/_________


Please make all money orders or checks payable to: CASH


1 month membership--14.95
3 month membership-- 29.95
6 month membership --49.95
12 month membership--89.99
(per membership)

Please Print your desired: Username:_________________

Please Print your desired: Password:_________________

Username and password should be atleast 6 characters long, no longer than 10 characters each.
May be changed for availability

 Send this form (signed and dated) to the address below, along with your cash, check or money order made out to CASH:

Cajun Big EZ Productions
P.O. Box 775
Krum, Texas 76249
USA


All Material is © 2008-2011 BBW House of Cajun.  All models are over 18.  Design by Cajun Big EZ Productions.