Agentura   VENUS Reg.Nr._____ 

Please read our BASIC RULES and SERVICE, fill out this form, include a few sharp photographs and send to us.For a more extensive choice of ladies,please consider abroad women ages range and preference of women with children, as there are many nice, romantic, charming, tender women of various ages with children in our Database

         1.Please fill out this web page using keyboard and mouse and press the button Submit (see on the bottom) after all;    

         2.You may print out and fill out manually  this form and send to us by post with Your photos:P.O BOX 633,Riga LV-1050 LATVIA 

         3.If  you have a problem to PRINT this form, please send (by e-mail) to us Your post mail address and we"ll send it to You by post.                           

                                                              MEMBERSHIP is FREE, but you may addition offer our service. (look price list).
                                                               MY PERSONAL DATA:                                                                      

First name:

Last name:

 

Date of birth/:

Height  :

 

               

Nationality:

Weight : 

       E-mail:     
1.LANGUAGES : English German Russian Latvian

2.MARIT.STAT:                 Never married Divorced Widowed  
3. CHILDREN: Would like to have Have        Haven't      
Number of children you have:

Girl:

Boy:

Age of children:

Children living with me:

Children living  separately from me:

4. CHARACTER:    
Shy/ natural Determined Trustful Purposeful Happy Kind                              
Successful Ambitious Reliable Humorous Sociable Careful                               
Charming Romantic Faithful Attentive Honest Active                              
Considerate Home loving Serious Intelligent Optimist Quite                              
I’ live for HER Responsible Practical Strong will Tender Sexual                              
One-woman man Like children Friendly Generous  Creative Frank                              

5. EDUCATION:

Secondary College Graduate school 

University

                                                                            Major or special training: 

6. OCCUPATION:                                             Current occupation  :         

7. ECONOMIC SITUAT.:

  

  Aver   

More than average Well-to-do  
  I'll buy a home rent a house  Apartment Own home

8. INTERESTS: 

     
Sea /Beaches Theatre / Opera Literature Yacht / Boating Cooking Dancing                              
Shopping Art / Museums Philosophy Family life  Sciences Cars                                
Sports(active) Classical music Psychology Housekeeping Fashion Clubs                              
Movies / TV / Video Popular music Astrology Rest at home Nature Politics                              
My businass Swimming / pool Traveling Technology Animals Walking                              

9. I’M INTERESTED IN:

Just a pen pal for now Traveling, romance, friendship Marriage if we're compatible
          Desirable qualities of my future partner:                

1. IDEAL AGE:

From:

      To:

Doesn't matter    

2. HER CHILDREN:

Accept children Only adult Without children

3. ANY OTHER COMMENTS ABOUT YOUR FUTURE MATE:

4. YOUR ADVERTISEMENT:

If you’d like to place your ad in our newspaper (see special offer), please write here your brief text:

    Date______           

                

           

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