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Registration Form


Dear Ladies,
Some of the following fields are optional. But please don't try to save your time on this form!
More information - more chances to find your true mate!

    Make the following steps for registration at our site:
  1. Fill out registration Form and click the button "Save Registration Form" on the bottom of the page.
  2. After registration you will be able to load your photos and attach them to registration form.You will be able to upload up to 10 your photos in JPG format (up to 100KB each photo)!
    Your registration form without photos wouldn`t be accepted!

If you have any your personal ID on our site please fill out your ID and Password.
ID:   Password:   

If you forget your ID and Password please click here
First name: 
Last Name: 
Birth date:      
Your address:
Country: 
Zip/Postal code: 
City: 
State/Province:    Other: 
Street: 
Phone: 
E-Mail: 
Can we send you our news?:   Yes    No  
Self description:
Height: 
Weight: 
Eyes:    Other: 
Hair:    Other: 
Number of children: 
Childrens gender and year of birthday: 
Desire children:    Other: 
Religion:    Other: 
Education:    Other: 
Occupation: 
Languages:  Chinese    Dutch    English    Finish    French    German    Greek    Italian    Japanese    Polish    Portuguese    Romanian    Russian    Slavic    Spanish    Swedish    Ukrainian    Yiddish  
Other: 

Hobbies:  Art    Reading    Cars    Astrology    Cards    Games    Computers    Cooking    Gardening    Writing    Traveling    Outdoors    Photography    Music  
Other: 

Smoking habits: 
Drinking habits: 
Music interests:  Alternative    Classical    Gospel    Country    Rap    Rock    Folk    Jazz    Blues    Easy  
Other: 

Entertainment interests:  Television    Concerts    Movies    Theatre    Opera    Sporting events    Reading    Outdoor activities  
Other: 

Pets you like:  None    Cats    Dogs    Fish    Horses    Birds    Snakes    Lizards  
Pets you have:  None    Cats    Dogs    Fish    Horses    Birds    Snakes    Lizards  
Other: 

Relationship goal:  Email    Pal    Friends    Short-term    Relationship    Long-term    Relationship    Recreation    Marriage  
Other: 

Life goal: 
Self description: 
Partner description:
Age:   ---  
Height:   ---  
Number of children:  Any    None    1    2    3    4    5  
Desire for children:    Other: 
Income Level:  Any    Low    Lower Middle    Middle    Upper Middle    High  
Other: 

Smoking habits:  Any    Don't smoke    Smoke seldom    Smoke occasionally    Smoke regularly    Smoke heavily  
Drinking habits:  Any    Don't drink    Drink seldom    Drink occasionally    Drink often    Drink heavily  
Countries: 
Description: