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This APPLICATION is
ONLY
for
Asian Girls
that desire to submit
their PROFILE to us. The Internet
Publication
Single
Filipina Lady
is an introduction publication read by men interested in an
Asian Lady for a future relationship.
IMPORTANT:
Send us 1 or 2
different "High
Quality"
photos
of your FACE and BODY
not trees
PRINT
Your Name:___________________________________________
(
Phone ? )
______________________
Address:_____________________________________________________________________________________
____________________________________________________
(
E-MAIL?
) ________________________________
Age:
______ Date of Birth:____________________
Height:
____________ Weight:___________________
Describe Yourself:
___________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Education: _____________________________
Your Occupation:
_______________________________
Religion:
_____________________________
Are you
interested in possible Marriage?____________
Can You accept a
divorced man? ________ Is the man's
age important to you?
____________
Describe the man you would like to
have write to you: ____________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
What are your goals in life:
_________________________________________________________________
______________________________________________________________________________________________
Sign your LEGAL
Signature below:
____________________________________________________________________Date:________________
I do hereby give
"The
Davis Place.com"® "Filipina
Lady.com"® "Single
Filipina.com"® "Filipina
Wife.com"® and their affiliates, permission to publish my photos
and personal profile information on the Internet.
In order to comply with the
2005/2006
IMBRA
law in the USA,
I understand the English language and do hereby authorize this
website to discreetly give my mailing address ( and my eMail and
Phone number if I have provided them in the blanks above) by
Private Membership and special publications only. It is understood
that
The Davis Place
International, it's subsidiaries and affiliates shall not be held
responsible in any way whatsoever for any psychological or physical
interaction between the parties hereto or hereafter. Said
responsibility is only between the parties themselves. Each person
using any services herewith, agrees they are the legal age of 18
years or older, and are Adults and totally responsible for their own
actions in connection with any of the services offered and provided
by the websites and individuals herein.
You have our permission to make
copies of this form to give to your friends
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