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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: Enclose
1 or 2
different "High
Quality"
photos
of you
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:__________________________________________________________Date:________________
You have our permission
to make copies of this form to give to your friends
( I hereby give "Single
Filipina.com
", "Filipina Lady.com"
®," "Filipina Wife.com" ® ,"
"The Davis Place.com ®", and their affiliates, permission to publish my photos and
information on the Internet*, and special related publications.
(Addresses are given out by Membership & special
publications* only)
Disclaimer:
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 by the
websites and individuals herein.
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