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Dinner and massage exchange interest - 3/30/19
Dinner and massage exchange interest - 3/30/19
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1.
Name
(Required.)
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2.
email address
(Required.)
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3.
repeat email address
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4.
cell number
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5.
repeat cell phone number
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6.
Age
(Required.)
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7.
Height
(Required.)
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8.
Weight
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9.
I plan to attend on the evening of Sat. March 30th
(Required.)
Yes
No
uncertain
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10.
I have submitted one or more photos of myself to you via email
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Yes
No
Uncertain
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11.
I have confirmed my desire to receive further notices from you via your iContact.com server
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Yes
No
Uncertain
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12.
please keep me on your contact list for future get-togethers
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13.
comments/ suggestions / questions
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