Full Name*
Address*
Country*
Phone*
FAX
E-mail*

 

Your age
Height
Weight
Hair color	Red Light blonde Medium blonde Dark blond Brown Black Gray
Eye color	Green Blue Brown Black Gray Violet
Race	Caucasian/White African/Black Asian Hispanic Multiracial Other

 

 

Marital status:

single  divorced  widower  married

 

Do you have children?  no     yes

If yes, please specify gender and age.

 

Education (you can choose several options):

 

school
special
college
university
postgraduate

Languages Speaking
(please mark if you can communicate in the language):

 

English
German
French
Italian
Russian

Other:

 

Occupation:

Interests and hobbies:

 

Personality:

 

Religion:

Drinking

no  socially  sometimes  often

 

Requirements to a partner

(If parameter is not important for you, leave the windows blank.)

 

Age:		from to
Height:		from to
Build:		doesn't matter  slim  average plump
Kids OK?		OK maximum 1 no kids
Other requirements (woman's personality, interests, education etc)

 

 

 

Your Message:

 

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