Men's Profile form 

Personal information                                                                                                
Name: 
Street: (Home Address)
City:
State: 
Zip: 

 

Contact information                                                                                                  
Home Phone:
Work Phone:
Cell Phone:
Pager number:
Best Time to Call:
Your E-Mail address: 

 

Habits                                                                                                                           

Do you .....  

 

  Smoke?
  Drink?                 Check the boxes that apply
  Do drugs?

 

Tell us about yourself                                                                                              
Please try to describe your personality:  

 

Special skills or talents:

 

Things that I like to do:

 

Things that I don't like:  

 

Things that I'm interested in:

 

 

Why I would make a great Date:

 

What type of availability would you have?

 

How did you hear about us?

 

 

Miscellaneous information                                                                                     
Height:
Weight:
Hair Color:
Eye Color:
Jacket Size:  
Waist Size:
Birth date:
Ethnic Background:    
Languages spoken:
Education: 
Occupation:

Do you have a car? 

 Yes
 No
 Sometimes

Please send a picture of yourself?
Note: Only JPG and GIF file types are allowed with a 500K file size limit.

Sending a picture is always very helpful

 

 

   
 

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