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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