MEN'S ADVERTISEMENT

APPLICATION

Fields marked by * are required to be filled in.

YOUR INFORMATION:

1. First Name: *
2. Last name: *
3. Date of birth:
*  
(DD/MM/YYYY)
4. Mailing address:
*
*
*
5. Telephone:

for ex: 7 095 123-4567
6. Fax:
7. E-mail:
Confirm Email:
8. Marital status:
never married
divorced
widowed
9. Height:
10. Weight:
11. Hair color:
12. Eye color:
13. Education:
14. Occupation:
15. Foreign Languages:
Yes
No
If yes, specify:
1.
 fluent;
can read and write only
can read and write with dictionary
2.
fluent
can read  and write only
can read and write with dictionary
3. Other languages:
16. Children:
Yes
No
If yes, specify their age and sex:
1. y.o. male female
2. y.o. male female
3. y.o. male female
17. Do you smoke:
Yes
No
18. Do you drink:
Yes
No
If yes, then specify
often
socially
 rarely
19.Religion:
20. Do you want to have children in marriage:
Yes
No
21. Interests and hobbies:
22. Your message to the ladies:
(tell about yourself and describe the person,
you would like to meet up to 50 words)

Your Preferences for a Partner:
1. Age:  years old to Does not matter
3. Height: Does not matter
4. Weight: Does not matter
5. Hair color: Does not matter
6. Eye color: Does not matter
7. Marital status:
never married
divorced
widower
does not matter
8. Education: Does not matter 
9.Occupation: Does not matter 
10. Children:
yes
no
does not matter
11. Does she smoke:
yes
no
does not matter
12. Does she drink:
yes
no
sometimes
does not matter
13. Religion: 
14. Residence
Russia
Europe
Ukraine
Latvia
Moldova
Uzbekistan
other
does not matter
15. Interests and hobbies:


Email Your Photos to: service@aslcorp.us