Kings Adult Entertainment.LLC
Printable Mail Order Form
Print this form, fill out, & mail
when ordering Ice Blaque.com memberships.
NOT FOR “TOY STORE” PURCHASES
PLEASE PRINT CLEARLY!
We only accept money orders & certified bank checks
(In U.S. dollars only) made payable to: Kings Adult Entertainment. * Upon receipt of your payment-for memberships,
you will be e-mailed your membership access and pass codes. Upon receipt of
payment, all individual items are processed and shipped with 48 hrs in plain
discreet packaging & will arrive within 1-4 weeks via USPS Priority Mail.
NAME:__________________________________________________________________
ADDRESS:
E-mail Address:___________________________ PHONE # (optional)_______________
Please make sure you list a working e-mail address for membership
access delivery & e-mail confirmation of product shipment!
MEMBERSHIPS- ____$9.95 7 day ____$19.95 30 day ____$29.95 60 day
|
Item |
Qty |
Description |
Price |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total-$____________
*Although
most the items purchased via snail mail are not considered “obscene” or “adult”
in most states, we do require every customer’s signature and DOB for customer
identification purposes. Thank You.
Signature_____________________________________________ Date _______________
DOB_____/_____/_____