Registration - AdultXads.co.uk



You can pay online or if you prefer fill in the for and send it back to us -

Please use this printable form if you prefer to pay by cheque or postal order.

Upon receipt of this form and payment we will contact you via email to check that we have your email address correct, and to confirm that your membership has been set-up.

Choose your preferred username: ______________________
(Usernames must be between 8 and 15 characters in length)

Choose your preferred password: ______________________
(Passwords must be between 8 and 15 characters in length)

Your email address: ______________________________________
(It will NEVER be sold, rented or made available to any third-party, for more information please review our privacy policy)

£4.99 (1 month membership)
£9.99 (3 months membership)
£29.99 (12 months membership)

Please make fees payable to:
Insight
25 Smallbrook Road

Broadway
Worcestershire
WR12 7EP

Signature: ______________________________ Date: ___________

By signing this form you are deemed to have read and agreed to the Terms & Conditions.

N.B adultXads is the property of 365adultshop & Insight