PERSONAL AD
SECURE ORDER PAGE
How to place a Personal Ad

1) Complete the Personal Ad Form which will provide the ladies with your biographical information.

2) Provide one or more quality photos of yourself .  Please Note: We strongly recommend a professional quality photograph in order for you to receive the greatest number of responses from your ad. Do not send photos that are taken from a distance or which are of poor quality. One head shot and one full body shot are recommended.

3) Choose a Personal Ad Plan and payment option. We accept Credit Card, or Pay Pal.

4) Complete the Credit Card and Shipping Information.

5) E-mail the completed Personal Ad Form with your photos attached.


PERSONAL AD FORM
Biographical Information
(NOTE: ALL ITEMS ARE REQUIRED)
Name (First, Mi, Last):
Address:
City:
State:
Zip Code:
Country:
E-mail Address:
Home Phone:
Date Of Birth (mm/dd/yy):
Age:
Nationality:
Height:
Weight: 
Color of Eyes:
Color of Hair:
Race:
Marital Status:
Children (If yes, how many):
Ages of Children:
Do Your Children Live With You:
Profession:
Actual Occupation:
Own Your Business:  
Languages You Speak:
Hobbies:
Personal Traits / Self Description:
Religious Preference (if any):
Are You a Smoker:
Will You Consider a Smoker:
Preferred Age Range of Woman:
Preferred Height:
Preferred Weight:
Preferred Eye Color: 
Preferred Hair Color:
Consider a previously married woman:
Consider a woman who has children:
Would you like to have children:
Personal traits you consider most important in a woman :
Hobbies you find desirable in a woman:
List any additional information you would like to add about yourself or information that you would like to know about the woman you would be interested in:
 
Personal Ad Option
(Check a box)
Personal Ad Yearly
$100.00
Personal Ad Monthly (6 month minimum)
$10.00
Number of months

 
Special! (Enter 3 free ladies codes)
   
 
Payment Information
Date (mm/dd/yy):
Select Credit Card:
Credit Card Number:
Exact Name Appearing on Card:
Expiration Date (mm/dd/yr):
Billing Address 1:
Billing Address 2:
City:
State:
Zip Code:
Country:
Phone Number:

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