Addiction Forms: Take Me Like Me Out

Submitted By mariarosewells
Words: 2048
Pages: 9
Open Document
| |
|TAKE ME OUT |
|GIRLS |
|APPLICATION FORM |
|FULL NAME: (as on passport) |DATE OF BIRTH: |
| | |
|FIRST NAME THAT YOU PREFER TO BE CALLED ON THE SHOW: |AGE: |
| | |
|HOME ADDRESS: |
| |
|YOUR CONTACT NUMBERS |
|OFFICE: |
|HOME: |
|MOBILE: |
|YOUR EMAIL ADDRESS: |
| |
|CITY OR TOWN ORIGINALLY FROM: |
| |
|ARE YOU: SINGLE / MARRIED / SEPARATED / DIVORCED |
| |
|HAVE YOU EVER BEEN MARRIED OR ENGAGED? IF YES – HOW MANY TIMES? |
| |
|WHO DO YOU LIVE WITH? |
| |
|HOW TALL ARE YOU? (in Feet and Inches) |
|
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