I am over 21 years of age:yes no My Real Age Is:

First name: Last name:

Email Address:

Baby Name: Play Sex: Male or Female
Play Age Is:

City: State:

Zip code:

Phone Number?? Your Choice:

What do you want to see the most of :
I have decided not to charge But to ask for a donation to help keep me on line for you: or call me and buy items from me or do a phone fantasy at $2.00 per min.
Sent to : Lynnette Carrol ...P. O. Box 10833....Ft Wayne, In. 46854
Or just call me at 1-260-745-3857
The whole form copy and paste this form to me at:
Email me this form to: Lynnettes_items@verizon.com
If you do not get an email back then resubmit or call me