Muki's Kitchen Pay-Per-Portfolio Mail-In Order Form

I am interested in purchasing the following Muki's Kitchen portfolios:

(Check off one or more)

  Portfolio 1   Portfolio 6   Portfolio 11
  Portfolio 2   Portfolio 7   Portfolio 12
  Portfolio 3   Portfolio 8   Portfolio 13
  Portfolio 4   Portfolio 9   Portfolio 14
  Portfolio 5   Portfolio 10   Portfolio 15
    Portfolio 16

I understand that the cost is $16.95 (US Funds) per portfolio and payment form must be as good as cash:
Cashier's check, postal money order, bank money order, or international money order,
and made payable to DHD Media
(Do not send cash!)

I am ordering

I would like to use the following username/password:

Username:

Password:

My email address is:

Please read and check off the following 3 items:

I certify that I am over 18 years of age (21 in some states and locations) and that it is legal for me to view adult oriented material.

I understand that portfolio access is for one week only and that my ability to access these portfolios will terminate one week after notification by DHD Media that my account is active.

I also understand that, due to the periodic changes of portfolio contents, the exact contents of mail-in order portfolios can not be guaranteed.

 

Print completed form and send with payment to:

Muki's Kitchen
c/o DHD Media
13428 Maxella Ave Ste. 294
Marina Del Rey, CA 90292
USA