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Single Filipina Lady
is an introduction publication read
by men interested in an Asian Lady for a future relationship.
Print Your
Name:____________________________________________
( Phone
if available )
_________________________
*Your
Mailing
Address:
__________________________________________________________________________________
____________________________________________
( E-MAIL
if available
) __________________________________________
Your
Age:
________
Your
Date of Birth: _______________________
Height:
____________ Weight:____________
Describe Yourself:
___________________________________________________________________________________
___________________________________________________________________________________________________________
____________________________________________________________
Do you have children
?_______________________
Education:
_______________________________________ Your
Occupation:
_________________________________
Are you interested in
possible
Marriage ?
____________
Can You accept a
divorced man ? ________ Is the man's age important to you ?
____________
Your Religion:
Christian-Catholic ( )
Jewish
( )
Muslim
( ) Buddhist
( ) Atheist ( )
Agnostic
( )
Describe the man you would
like to write to you and you reply back to him:
_________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
What
are your goals in life:
____________________________________________________________________________
____________________________________________________________________________________________________________
Sign your
LEGAL Signature:
(
Required by USA IMBRA LAW
)
_____________________________________________________________________
Date:___________________________
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Lady.com" ®," "Filipina
Wife.com" ® ," "The
Davis Place.com ®", and their affiliates, permission to publish
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(
Legal Disclaimer
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Click here ) 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
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