Please, complete the following Form, send us your photo

and your data will be put on a board at our Ukrainian/Russian offices for Free!


First Name

Last Name

Date of Birth

      

Height

Weight

Hair color

Eyes color

Ethnicity

Religion

Marital status

Children

 son,daughter (age)

Would you like to have (more) children Yes  No

Smoking

Yes  No

Drinking

Languages

English   French German  

Spanish  Italian  Russian  Ukrainian

Education

Employment status

Occupation 

Your Character

Your Interests

Additional Information

Your Address

Street, house, apt.

City

State/Province

Country

Zip code/Index

Email

Phone

YOUR DREAM-LADY IS:

Age

from    to

Height

from      to

Hair color

Doesn't Matter  Auburn   Black

Blonde  Brown   Chestnut  Fair  Red

Eyes color

Doesn't Matter  Black   Blue

Brown  Gray   Green  Hazel

Marital status

Never Married           Divorced

Children

Education

Smoking   

Doesn't Matter      No

Additional Information (her character, hobbies...)
                     

Do not forget to e-mail your photos along with your first and last name to

ukrainetour@ukrainetour.com

 

  

 

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Revised: 02.02.2006