subject_line
Ladies Submission Form
I want to
*
Add a new profile
Edit my profile
City, Country
*
Full Name
*
Age
*
Height
*
Weight
*
Eyes
*
Hair
*
Occupation / Job
*
Marital Status
*
Never Married
Divorced
Widow
Children
Religion
Education
Age of partner
His kids
OK
Not OK
Languages Spoken
English level
*
None
Basic
Good
Intermediate
Fluent
Interests / Hobbies
Looking for in a partner
More about me / additional comments
Primary email address
*
Previous profile # (if applicable)
Please make sure that you have a working email that you check regularly as this is where we send your responses to.
Secondary email address(es)
Mobile telephones
*
Mobile telephones
Home / Work telephones
Skype Name
Special notes or instructions
Agent #
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