B-Movie Message Board Supporting Member Order Form for March 2008 - March 2009

I wish to purchase the following membership (please circle your choice):

Illudium  ($12)

Explodium ($25)

Solarmanite ($50)


Name: ___________________________________

Mailing Address: ________________________

________________________________________


BMMB Screen name: _________________________

E-mail address where you may be contacted: ___________________________


_______________________________


By signing here, you affirm that you have read and agree to the Terms 
and Conditions found on this web page: 

http://www.badmoviezone.com/sponsor/terms.html



Signature _______________________________

Please include your payment (personal checks are fine for U.S. account 
holders, otherwise cash or money order in U.S. funds please) with this 
form and send it to:

Stomp Tokyo
3616 Far West Blvd #117-145
Austin TX 78731


Make checks out to Stomp Tokyo. Thank you!