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Gentlemen's Submission Form
I want to
*
Add a new profile
Edit my profile
Profile # (if editing your profile)
Your location now
When do you plan to travel?
Please tell us as much about yourself as possible.
First Name
*
Age
*
Height
*
Weight
Eyes
Hair
Occupation / Job
*
Marital Status
*
Never Married
Single
Divorced
Widower
Married
Children
Where are you from originally?
Religion
Age of partner
Her kids
OK
Not OK
Languages Spoken
Russian speaking level
None
Very little
Some
Intermediate
Fluent
Interests / Hobbies
Looking for in a partner
More about me / additional comments
The following information is will be kept 100% confidential. It is for our internal use only and will not be shared with anyone including the ladies.
Full Name
*
Primary email address
(please avoid hotmail)
*
Secondary email address(es)
Please make sure that you have a working email that you check regularly as this is where we send your responses to.
Mobile telephone(s)
Mobile telephone(s)
Home / Work telephone(s)
Include me in the Gentlemen's Catalogue to Women (optional)
Yes
SMS notifications
Send me SMS notifications if ladies agree to meet
Yes
My current devices
Desktop computer
Notebook
Tablet
Smart phone
I have
Skype
Viber
WhatsApp
Skype name (if applicable)
I am interested in
*
In person meeting(s)
Note Exchange (communicate with ladies prior to meeting)
Special notes or instructions
Promo code
Upload your pictures. Maximum size 1MB. Alternatively you can email your pictures to the address provided on the next page.
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Upload your pictures. Maximum size 1MB. Alternatively you can email your pictures to the address provided on the next page.
🛈
Upload your pictures. Maximum size 1MB. Alternatively you can email your pictures to the address provided on the next page.
🛈
Upload your pictures. Maximum size 1MB. Alternatively you can email your pictures to the address provided on the next page.
🛈
If your picture file(s) are more than 1MB you can email them to the address provided on the next page.
I have a valid Bank card to pay for services (cash not accepted)
*
Yes
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