Your name:
*Credit Card#
*Your e-mail address:
Are you a: (Cleck all that apply)
Male Female
Transvestite Gay
/Lesbian
Alien
Earthling
Comments:
| Shrimper | Computers |
| mIRC | Hangin' out |
| Thinkin' bout us! | Watching TV |
| Viewing our Homepage!! | Sports |
| BodyBuilding | XXX-rated movies (BE HONEST!...naughty naughty!!!) |
| Pickin' yer Nose! | Eating Picked Boogers! |
| Pinchin tails! | Suckin da Head! |
| Spit? | Swallow? |
| Other | Other |
| YES! | NO! |