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name and email - *Your Birth Date: *Country: *City: *State (if US): *I am a: Please choose one Female Male *Looking for: Please choose one Both Female Male *Headline: *I am seeking: Please choose one a Date a Double Date a Friend Short-term Relationship Long-term Relationship to Chat/Email to Hang Out Photo Exchange Other Height: Body Type: Weight: Hair Color: Prefer not to say Auburn Bald Black Blonde Light Brown Dark Brown Grey Mixed color Red Strawberry Blonde White Crazy Color Other Eye Color: Prefer not to say Blue Brown Black Green Colored contacts Hazel Blue Hazel Brown Hazel Green Turquoise Colored Contacts Ethnicity: Prefer not to say Asian Black/African Black/Caribbean Black/Other Hispanic Middle Eastern Mixed White Other ethnicity Marital Status: Prefer not to say Single Committed but looking Living together Married Married and looking Separated Divorced Widowed Children: Prefer not to say Yes-living at home Yes-sometimes living at home Yes-not living at home Yes - Weekends None Education Level: Prefer not to say Still a student Graduate degree Some University University Degree Masters Degree Doctorate Other Occupation: Prefer not to say Administrative/Secretarial Artist/Musical/Writer Computers/Internet Executive/Management Finance Food Services Independently Wealthy Labor/Construction Legal Medical/Dental Political/Government Retired Sales and Marketing Self Employed Student Teacher/Professor Technical/Science/Eng. Transportation Other Annual Income: Prefer not to say Under $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $75,000 $75,000 - $100,00 $100,000+ Religion: Prefer not to say Anglican Atheist Baptist Buddhist Catholic Christian Hindu Jehovah's Witness Jewish Muslim Lutheran Methodist Mormon New-Age Non-Religious Non-Practising Protestant Presbyterian Sikh Unaffiliated Other (* = required fields) Astrological Sign: Prefer not to say Aries Aquarius Cancer Capricorn Gemini Leo Libra Pisces Sagittarius Scorpio Taurus Virgo Don't Know Don't believe in it Smoking Habits: Prefer not to say Don't smoke Occasionally Socially Regularly Drinking Habits: Prefer not to say No Socially Often (> 3 times/week) Personality Traits: Adventurous Lazy Argumentative Liberal Arrogant Neurotic Artistic Quiet Confident Romantic Conservative Sensitive Easygoing Serious Eccentric Simple Flexible Spiritual Flirty Spontaneous Funny Wild Hippie Witty Hyper Other Intellectual -------------------------------------------------------------------------------- Physical Activity: Active Somewhat Active What's That? Very Active Not Active Other Rarely Active -------------------------------------------------------------------------------- Favorite Activities: Backgammon Raves Bicycling Reading Camping Sewing Cooking Shopping Dancing Weekend Trips Drinking Snooker/Pool Eating Sailing Fishing Travelling Flying Television Gardening Home Videos Hunting Working Movies Writing Parties Other -------------------------------------------------------------------------------- Favorite Food: American Cajun Chinese French Indian Italian Japanese Mexican Mediterranean Russian Thai Vegetarian Other -------------------------------------------------------------------------------- Physical Activities: Aerobics Scuba Diving American Football Sky Diving Baseball Snow Boarding Boating Snow Skiing Bowling Surfing Cricket Swimming Cycling Tennis Dancing Volleyball Football Wake Boarding Golf Walking Jet Skiing Water Skiing Jogging Walking Racquetball Weightlifting Rock Climbing Working Out Roller Blades Other Rugby -------------------------------------------------------------------------------- I like going out to: Art Galleries Museums Cinema Restaurants Clubs Shops Comedy Clubs Theatre Concerts Other Dancing -------------------------------------------------------------------------------- Favorite Music: Brit Pop Indie Retro Garage Hardcore Disco Alternative Rock New Age Big Band Oldies Classical Opera Country R&B Dance Pop Easy-Listening Rap Folk Reggae Heavy Metal Rock Jazz Soul Middle Eastern Other If you could change one thing about yourself, what would it be? Something you shouldn't tell us: What are you looking for? Your idea of the perfect date: ** You are joining us for a 7-Day Free Trial Membership. TO AVOID BEING CHARGED A MONTHLY FEE, SIMPLY CANCEL YOUR MEMBERSHIP BEFORE TRIAL PERIOD ENDS. If you remain a member beyond the Trial period, your membership will renew at $19.95/month, or the then applicable rate, until cancelled.
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