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APPLICATION
FORM
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Introductions
for Men and Women
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| For
Our Records Only
(this information will not be seen by other members
- see email) |
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First Name :* |
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| Last
Name :* |
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Email
Addresses :
are used to communicate with other members and is
only provided on request for contact.
The member making the request has their Email address
sent to one they wish to contact.
Therefore
we stress that it is recommended you use an anonymous.
See Privacy
The member being sent the address and message then
has the choice of replying to the initial communication.
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| Email
Address :* |
(Valid Email Only) |
| Confirm
Email Address :* |
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| I
learnt of this site from:
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specify:
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*All
information with an asterisk (star) is required
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| Information
For Your Profile
* required |
| Membership
: |
(New Membership or Revising Details?) |
| Nick
Name :* |
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| I
am a:
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Looking
for a:
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Describe
yourself briefly in one sentence*
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| Submitting
a photo? |
Attach to separate E-mail
click here! *** |
| *Age: |
years (You
must be 18 years or older) |
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| City
:* |
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| State
/ Province :* |
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| Post
Code :* |
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| Country
:* |
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Profile:
You and what you seeking in more Detail*
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*Brief Description about yourself (approximately
40 - 60 words): |
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Descriptions:
can cover topics such as Occupation, Nationality,
Height, Religion, Build, Hair Colour, Eye Colour,
Complexion, Star Sign, Hobbies, Interests, Likes,
Dislikes, Smoke, Drink, Bisexual, Chat, Couples
....
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| *Brief
Description about the person your searching for: |
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| AGREEMENT:
In submitting the details above you agree to the terms
and conditions of membership, accept that "Introductions"
(The owners of this site) provides no guarantees,
and is not responsible for incorrect information,
and that the information above pertains to you - the
applicant named. You may submit two profiles
- two memberships. |
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*Denotes
compulsory field - minimum information required
*** Attached photos
Email
click here!
OFFLINE:
Women for Women membership and details
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