Please print out and sign document and fax back to 951-346-9672 or email back to info@exoticdancerpayment.com

( Click Here to Print Credit Card Release Form)

(PLEASE NOTE ALL PAYMENTS ARE NOT FINAL UNTIL CREDIT CARD RELEASE FORM IS SIGNED AND FAXED OR EMAILED BACK)

Please print out document and fax back to 951-346-9672