Meet gorgeous brazilian girls at Brasiliane.com

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OnLine Order Form
Brasiliane Selection Process

The order process is divided in two parts:

Part I, to submit the selection of Girls you wish to contact.
Part II, to make your payment online via our secure merchant service.

Your order will be delivered once we receive the payment validation. We also offer other ways to order. Click here for details ( conditions apply ).

The Selection Process
We do not sell credits of members.
For package order, you must select all the addresses before submitting your order.
Submit the selection of Girls you want to meet by completing the following steps.

Step 1: Fill the order form boxes with the Identification Numbers of your selection.
Step 2: Enter the cost of your selection.
Step 3: Provide us with your name, addresses, etc.
Step 4: Submit your selection for secure Online payment.

Price list:

1 to 3
Contacts

Package A
up to 15

$13 each

$49

Step 1: Identification Numbers
Select the member you wish to contact.
Enter their codes in the boxes below (example: BR2101)

1. 2. 3. 4. 5. 6.

7. 8. 9. 10. 11. 12.

13. 14. 15. 16. 17. 18.

19. 20. 21. 22. 23. 24.

25. 26. 27. 28. 29. 30.

31. 32. 33. 34. 35. 36.

37. 38. 39. 40. 41. 42.

43. 44. 45. 46. 47. 48.

49. 50. 51. 52. 53. 54.

55. 56. 57. 58. 59. 60.

61. 62. 63. 64. 65. 66.

67. 68. 69. 70. 71. 72.

73. 74. 75.

Step 2: Enter the cost of your order in the corresponding boxes hereafter.

Single contact(s) $US

Packages A $US

Step 3: Enter Personal Information. Please fill all boxes.
You do not enter credit card number here.

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Country:

Phone Number: (required!)

E-Mail:

Today's Date: (mm/dd/yr)

Step 4: Submit your order.
We do not sell credits of members.
For package order, you must choose all the addresses at once.

Thanks for your order.
This process will take you to our online secure payment server,
Part II of the order process. We accept American Express, Discover, MasterCard and Visa.


For you convenience, we also offer other methods of payment.