TO RECEIVE A DOCUMENTATION

by mail or email, documentation about our services with:

• comprehensive information about our services
• Your selection of profiles of member(s) with pictures and descriptions,

Here are our conditions:

• you are single, divorced (e) or widow (er)
• you're looking for a serious and stable relationship,
• you have an identity or residence card updated,
• your job situation is stable,
• Proof that you do not have problems with the law of your country or in another country

You answered yes to all these questions?

You will now invest two minutes of your time, two minutes can change your life by completing the following questionnaire:

Change your life by completing the following questionnaire:

 Title *  

My surname *

My name *

Address *

My Town *

My Zip Code *

My country

Phone *
(No spaces)

E-mail *

Date of birth *

My profession *

I am looking for: *

Its cultural origin *

Age category *

My comments

(*) = Required fields