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Application Form for The Dating Game

Name... LDN...
E-Mail... Religion(State Preference, If Any)
State & Country Of Residence...  
 
State & Country Of Birth...  

      

Sex...
Sexual Preference...
Current Arrangement...
Age Group that applies to you...

What qualities do you look for in a Person
that are of the greatest importance to you.


LOOKS
   RACE
   INTELLIGENCE
SENSE OF HUMOR
TRAVELER
SPORTIVE 
 CITY PERSON
COUNTRY PERSON
GOOD DANCER
  LOVES FOOD
COOKING
FAMILY ORIENTED
WORKS OUT
ARTISTIC
WEALTHY
SUCCESSFUL
MUSIC LOVER 
   ROMANTIC
SPIRITUAL
FAMOUS
NIGHT-LIFER
QUIET
GREGARIOUS
HIGHER EDUCATION
ACADEMIC
GOOD BODY
VERY SLENDER
PLUMP

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