Alexandra Silk Enterprise
9424 Eton Ave Unit F, Chatsworth, CA 91311, USA

Please print
Name: __________________________________________________

Address: ________________________________________________

_______________________________________________________

City: ______________________________ State/Province: ___________ Zip: _____________

Country: _____________________________________________________

E-mail: _____________________________________________________

User name: _________________________________________________

Password: _________________________________________________

Membership options are (check one):

  • _____ $19.95 per month, one time only.

  • _____ $38.95 for 90 days, one time only.

Please make check or money order payable to:

Alexandra Silk Enterprise • 9424 Eton Ave Unit F • Chatsworth, CA 91311 • U.S.A.

All payments must be in United States currency.
Personal checks are held until cleared.

NOTE: Please sign below.
I CERTIFY THAT I AM AN ADULT 18 YEARS OF AGE OR OLDER.

Signature _______________________________________ Date: _______________