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INTERNET COMPUTER-DATING SERVICE – FREEZE FORM

Name:

E-mail Address:

Birth date (DD/MM/YYYY):

If you wish to freeze yourself, please mark the main reason – This
is needed for our statistics.

PLEASE FREEZE ME, FOR THE FOLLOWING REASON:

– Found someone through the service.

– Found & married someone through the service.

– Found a mate not through the service.

– Found & married a mate not through the service.

– Will be away for a while.

– Moved to another place.

– Other –
Please Specify:


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