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yours sincerely introduction agency and dating service
 

Please fill in this form and click on "submit". We'll then email you the profiles of a few people we think you'd like.

CLIENTS HAVE GIVEN CONSENT FOR US TO SHOW THEIR PROFILES.
YOUR DETAILS ARE FOR OUR USE AND WILL BE HELD IN THE
STRICTEST CONFIDENCE


* required fields
 

     
                                 
                          *Your Title: 
              

                               *Name: 


                         *Your email:

                    *Confirm email:

                          *Your Age: 

               *Your occupation   

                   *Your town/city:

                       *Your height:   *Your build:

            *Your marital status:     

        *Do you have children?

Please email me profiles of some of the people I may like to meet who fit the following criteria:

    *Age range: 

  *Area (for the following you can choose more than one option):
  

 *Occupation:
  

  *Height:
    

  *Build:
  

  *Marital Status:
  

  *I’m happy to meet people with children:   

Please tell us other aspects of appearance, character or personality which are important to you.
 

     Home Telephone Number:

                    Mobile Number:

                    How did you hear about us:                                                            

                                                                                          

 





 
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