Roni's Paradise Sign Up Form

Age verification is VERY important. NO MINORS WILL BE ALLOWED ACCESS. Since my site contains graphic sexual images and content, I must receive a signed statement of age before you can CUM inside. 

Please print out this page and fill in the required areas.
Any form that is not COMPLETELY filled will be considered void and may delay your membership activation!  

AGE VERIFICATION FORM   I, ____________________________, am requesting access to EXPLICIT ADULT materials on the World Wide Web.  I would like to freely enter the website, Roni's Paradise.com, and I understand that this website contains very explicit sexual content, images, text, and all medias that may be offensive to some people and also may be illegal in some areas.  I understand that the sexual references and images could be found immoral to some people in my community and it is my responsibility to ensure that I am not violating any of my communities standards or laws by accessing or downloading images from this website. I will NOT use these images for any reason other than my own personal education or entertainment.  I will NOT show these images nor will I allow access to the content that I am about to access to minors, for any reason.  I take full responsibility for controlling access to my computer by minors.  I will NOT allow anyone under the age of 18 to see or access this website. By signing below: I hearby affirm, under the penalties of purgery persuant to U.S.C. 1746, that I am a responsible adult, over the age of 18 years, that it is legal in my area, to view the sexual content contained in this site and I am requesting access of my own free will.  EMAIL ADDRESS:  _____________________ PRINTED NAME:   ____________________________ SIGNATURE: ________________________________ AGE: ______    DATE OF BIRTH:  _______________  DATE: ______________________

  Please check one of the following options:  

____  3 month subscription for $45.00 US funds

____  6 month subscription for $65.00 US funds

Your desired: Username:___________________Password:____________________

Username and password should each be 6 to 10 characters long and are case sensitive. Send the above form (signed and dated) to the address below along with your check or money order:  

JAZRPM ENTERPRISES L.L.C.
P.O.Box 894645
Mililani, Hi. 96789

  **Please make your check or money order out to: JAZRPM ENTERPRISES L.L.C.
***Please be aware that personal checks will have to clear before we can process your membership!

Thanks for joining my site!
Roni