*single-women.com*

(http://www.single-women.com)

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Use this form as a guide. This is YOUR webpage to describe and advertise yourself as you wish.

Provide only the information you desire.

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Full Name:

Address, City, Country:

Phone Number:

E-mail Address:

Birthdate and Age:

Religion:

Hair/Eye Color:

Height / Weight / Number of Children:

Language[s] Spoken:

Hobbies and Interests:

Qualities I Want in a Man:

About Myself:

Other Comments:

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Mail Photo/Biography to:

Landmark Associates, Inc.

5850 West Third Street

Los Angeles, CA 90036

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