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Age verification is VERY important to keep minors from accessing porn.
NO MINORS WILL BE ALLOWED ACCESS to MissMinaBBW.com.
Since my site contains graphic sexual images and content, I must receive a signed statement of age before you can enter. 

Please read, print out this page and fill in the required areas in its full entirety.

AGE VERIFICATION FORM  

I, ____________________________, am requesting access to EXPLICIT ADULT materials on the World Wide Web.  I would like to freely enter the website, www.missminabbw.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 or 21 in some states 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.

VALID EMAIL ADDRESS:  _____________________

PRINTED NAME:   ____________________________

SIGNATURE: ________________________________

AGE: ______    DATE OF BIRTH:  _______________ 

DATE: ______________________
   

  Please check one of the following options:  

____ 30 days access for $30.00

____ 60 days access for $60.00

____ 90 days access for $90.00

____ 180 days access for $180.00

____ 365 days access for $365.00


(US POSTAL MONEY ORDERS OR WELL CONCEALED CASH ONLY (AT YOUR OWN RISK. I AM NOT RESPONSIBLE FOR MAIL THAT GETS LOST ETC. NO CHECKS WILL BE ACCEPTED)
PLEASE LEAVE PAY TO AREA BLANK.:    

Your desired username and password: Username:___________ Password:__________
Username and password should be no longer than 6 characters long.

Please allow approx. 3 to 7 days for activation. Make sure the email address you use is valid so I can send you theemail confirming your subscription order and a copy of your requested username and password.
Please print it out and keep it in a safe place.
If you lose it you can email to request it. MissMinaBBW.com DOES NOT tolerate password trading.

There are no refunds.
No exceptions.
Send the above form (signed and dated) to the address below, a valid copy of your Photo ID or Drivers License along with your money order and mail to:

 Mina

 P.O. Box 2139

Lewiston, ME 04241

  I CANNOT PROCESS YOUR ORDER WITHOUT EVERYTHING NOTED ABOVE.
PLEASE BE SURE TO PRINT LEGIBLY SO I CAN PROCESS YOUR ORDER AS QUICK AS POSSIBLE. 

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