ENRIQUECRUZ.COM ORDER FORM

* I do not find images of nude adults, adults engaged in sexual acts, or other sexual material to be offensive or objectionable.
* I am at least 18 years of age and have the legal right to possess adult material in my community.
* I understand the standards and laws of the community to which I am transporting this material, and am solely responsible for my actions.
* All material I receive from this site is for my own personal use, and will not be reused in any manner, nor made available to any minor.
* I understand that using a card that is not mine is illegal and I am fully responsible if caught illegally using someone else's card.
* If I use the services of LAMANCHA PRODUCTIONS. in violation of the above agreement, I understand I may be in violation of local and federal laws, and my account may be suspended.
* My interest in this material is personal, and not professional. I do not work for law-enforcement, a media outlet, or another online club similar to ENRIQUECRUZ.COM.
* I have read the Terms and Conditions for ENRIQUECRUZ.COM and agree to them.

Your Name ( as on identification ): _____________________________________
Address: ________________________________________________________________
Address: ________________________________________________________________
City: ____________________________ State: ___________ Zip: ____________
Country: _________________________
Birth date: __________________________
Phone Number: Area/Country Code(_______)-_______________________________
email :__________________________________________________________________
(required for sending your password )
Signature:_______________________________________________________________
(required)
*If paying by credit card, complete info must be filled out below.
Credit Card Type: Visa___MasterCard___Discover___
Credit Card Number:______________________________
Expires:________CID Number(3 digit number on back of card)________
Signature:__________________________________________________
(*Required for all orders)
My signature above confirms that I am 18 or older and that if using a
credit card, it is my credit card and I am authorizing all
corresponding charges selected below.Full Access Subscriber Information
All check and money order payments will be a one-time charge and will
expire at the end of the selected term. All credit card payment
options are one time.
All one-time memberships, whether check, money order or
credit card, will receive a reminder email, near the end of the paid
term, letting you know that the account is about to expire.

Check or Money Order Options:
[ ]$24.95 1 Month Access to EnriqueCruz.Com
[ ]$79.95 3 Months Access to EnriqueCruz.Com
[ ]$249.95 12 Months Access to EnriqueCruz.Com

Credit Card Options:
[ ]$24.95 Monthly Access to EnriqueCruz.Com

Desired enriquecruz.com Userid (4-20 characters)
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Desired enriquecruz.com Password (6-14 characters)
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REMEMBER: If you are sending a personal check or money order, you MUST
include a copy of a valid PHOTO id that has your name and birth date.
This can be a driver's license, passport or official identification. 

You may mail this order to:
LaMancha Productions
244 fifth ave ste a252
NY. NY . 10001

You will receive an email confirmation when your order has been
processed. Please allow 1 - 3 week for Mail In Orders. Mail Orders are processed once per wk as they are received.