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personal introductionsThe Personal introduction service for marriage-minded business and professional men and lovely ladies. In business since 1910.

After completing the form you will receive your free audio mp3 file.

Name:*
Occupation:
Address:
City:
State:
Zip Code:
Gender:* Male  Female
Age:*
Height:*
Weight:*
Home Phone:*        Hours:  
Cell:
Fax Number:
Email:
Please submit the programs in which you are interested
Business Growth                                Personal Growth/Self Improvement
Dating and Relationship skills
I am a member of a singles group in need of programs; Please Call
I recieved brochure at:
 

Note if you are picking this up at a trade show or convention, just drop it on the box on our table.
800 LIFE-MATE(543-3628)