To Join BehindHisBack.com by snail mail
Please print this form, complete and mail to:
SM Media, Inc.
PO Box 666943
Pompano Beach, Fl 33066-6943
 
We accept Cash, Money orders & checks - Made payable to SM Media, Inc
All payments made with checks will NOT be activated until check has cleared.

Please "X" the box below for the Membership you desire:
30 Day Membership= $12.00
 

 Processing Information:

Email address:
Full Legal Name:
Desired Username:
Desired Password:
 This site contains sexually explicit material and is intended for adults at least 18 years of age or older.  I certify that I am of legal age (over 18). The viewing, reading and downloading of sexually explicit materials does not violate the standards of my community, town, city, state or country. The membership is for my own personal use and I will not expose minors to the material. I am not joining for the purpose of entrapment.
Signature: Date:

*Passwords are issued when payment is received. You will be notified via the email address you provided above*

Attach a photo copy of your Drivers license or a valid form of ID. Your signature on your license must match that of this page.
All information is used to ensure you are over the age of 18 only and will not be sold or used for any other purposes.