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Forget the loneliness!

Enjoy living together.

Free Consultations with an experienced Relationship Coach.
Risk Free!

Matrimonial offers (including international) for those looking for true love and partnership

Questionnaire

YOUR DETAILS:

Your name (obligatory)

Your email (obligatory)

Date of birth:

Zodiac sign:

Height (cm):

Weight (kg):

Hair colour:

Eye colour:

Marital status:

Religion:

Children and their age:

Education:

Profession:

Foreign languages:

Personality traits:

Cigarettes:

Alcohol:

Requirements/Wishes regarding future partner:

Age:

Height (cm)
from:
to:

Eye colour:

Hair colour:

Education:

Marital status:

Zodiac sign:

Additional info:

I agree, that Introduction Agency ‘’Elza’’ will give access to my phone number to other Elza customers who will be interested in my offer.

I agree, that Elza Agency will give acess to my email address to others interested in my offer to enable contact between me and them.

I agree, that my offer will be published on Elza Agency website www.elza.wroc.pl (anonymously).
Publishing of the offer will increase the chance of meeting a partner.

I confirm that all data that I have provided in the above questionnaire is correct and true. I promise to keep other people personal data only for my own discretion. I accept the agency’s terms and conditions.

Remember that introduction agency is not a shop, but a place where the Your feelings, needs and expectations will be the most important thing for me. ALWAYS!