Massive Member - Hardcopy Booklet with Online Access Mail Order Form

Massive Member Hardcopy Booklet - Mail Order Form

Please print this form, enter the required information and mail to:

Austin Research Institute
Dept # MM-HC
P.O. Box 922
Hampstead, MD 21074
U.S.A.

COST FOR HARDCOPY BOOKLET & MEMBERSHIP

  The cost for complete online access to the Massive Member Penis Enlargement Program
  + a hardcopy mailed to your door is just $ 64.99.

  This is a one-time fee. We do not charge a monthly fee and you will never be re-billed.

  Notes: Shipping to anywhere in the world is FREE. Shipping is 100% discreet. Your information will remain completely confidential.

PAYMENT OPTIONS

  We accept the following forms of payment (U.S. funds only):

cash

money orders

cashier's checks

  Please make your payment payable to: Austin Research Institute

   Note: We do NOT accept personal checks or COD's.

HARDCOPY BOOKLET SHIPPING INFORMATION

  YOUR NAME: ___________________________________________________

  SHIPPING ADDRESS: _____________________________________________

  CITY, STATE, ZIP: _______________________________________________

  COUNTRY/PROVINCE: ___________________________________________

  EMAIL ADDRESS: _______________________________________________

  EMAIL ADDRESS (REPEAT): _______________________________________

AGE VERIFICATION

  I hereby certify that I am at least 18 years of age.

  CUSTOMER SIGNATURE: ____________________________________________

  This text must be present on order form:

MAIL THIS COMPLETED FORM (WITH $64.99 PAYMENT) TO:

Austin Research Institute
Dept # MM-HC
P.O. Box 922
Hampstead, MD 21074
U.S.A.

Your hardcopy will be shipped immediately upon receipt of payment, and a message will
be sent to your email address containing your online access information. Thank you.