PrettyRussianBrides.com

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1	Name (first/last) :
2	Address
3	City
4	State
5	Zip/Postal Code:
6	Country
7	Do you own or rent your home?:
8	Best Contact Phone Number:
9	Best Contact Time:
10	Best Contact Method:
11	Your Email
	please re-type your e-mail:
12	Your birthday
13	Hair Color:
14	Eye Color:
15	Body Type:
16	Height:	feet inches
17	Languages Known:
18	Ethnicity (choose all that apply)	Native American Middle Eastern White / Caucasian East Indian Asian Black / African descent Latino / Hispanic Islander Other
19	Religion :
20	Occupation:
21	Education:
22	Current Income Level:
23	How much of a financial investment are you prepared to make to find your desired companion?:
24	Drinking Behavior:
25	Smoking Behavior:
26	Relationship Status:
27	Have Children:
28	Want Children:
29	About Me

30	My favorite types of music are: (choose all that apply)	Alternative Rock Pop Rap/Hip Hop Electronic / Techno Classical Jazz Blues Latin Country & Western Folk Christian / Gospel

1	Between the ages of	and
2	Hair Color (choose all that apply)	Auburn / Red Light Brown Other Black Dark Brown Any Blonde Salt and pepper gray Dark Blonde White or gray
	How important is finding matches with this hair color?
3	Eye Color (choose all that apply)	Black Brown Green Blue Gray Hazel Any
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4	Body Type (choose all that apply)	Slim / Slender A few extra pounds Other Average Disabled Any Athletic Large
	How important is finding matches with this?
5	Height	From: feet inches To: feet inches
6	Languages Known
7	Religion
	How important is finding matches with this?
8	Education (choose all that apply)
	How important is finding matches with this?
9	Drinking
10	Smoking Behavior
	How important is finding matches with this?
11	Relationship Status (choose all that apply)	Never Married Widowed Any Divorced Separated
	How important is finding matches with this?
12	Have Children
13	About my match
14	Your special questions.

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