| Be sure
you have submitted your Agreement
Form before you submit this form.
It will only take you a minute. Please Add
my Personals Page to The New-Age Personals.
Check this box and complete this entire page. Please
note that we will hold this form, without your Agreement, for 5
days only.
If we do not receive your Agreement in that time, you will
need to resubmit this form after you submit your
Agreement.
Please Remove my
Personals Page. Check this box and complete all
the * boxes below.
Please Change or fix my current
Personals Page. Check this box and complete this
entire page (You are allowed 2 changes during your
listing time; others are charged as a new listing).
Of course, if we make the error, we will correct it.
*All required information has a * before it.
The following two
items will NOT be posted on your page.
*MY EMAIL: Anonymous
email addresses (e.g. hotmail.com, rocketmail.com,
yahoo, etc.) are not accepted. You MAY use one
of these for your posted email to the right.
*MY REAL FULL NAME:
These 2 boxes must match the
information you submitted on the Agreement
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* By providing the
information below, you are welcoming contact from
others who may or may not also be listed in this
directory.
* You MUST complete all required boxes with the red
star [*].
* If you do not find yourself posted after 10 days,
the submission failed, you did not fill out the Agreement, you did not fill in
the required boxes, your method of payment was not
indicated, you did not send your check, etc. Send an
email if you are unsure why mailto:[email protected]
*Hi, my name is
My age is (optional)
M or F:
*EMAIL:
I AM
INTERESTED IN (check ONE or BOTH) ROMANCE FRIENDSHIP
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INTERESTS
ALL
the interests are already chosen for you. Hold
down the CTRL key (Apple users, hold down Apple key)
while you mouse click on those that you do NOT want listed on your
Page. Hold down the CTRL or Apple key the entire time
you are deselecting or reselecting. If you select or
deselect in error, just click it again.
Those you HAVE selected
will be
And those you have NOT chosen
Use all CAPITAL LETTERS to
list other newage interests not in your list above.
Other:
Other:
Other:
Other:
Other:
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*SECURE
PAYMENT OPTIONS
& LISTING TYPES
All
listings are posted for 6 months, unless you ask to
be removed before the end of the contract period.
$10 for Basic
6 month Listing
or
$20 for Expanded
Listing which includes all of
the above, plus any or all of the following (all
optional):
PHONE #:
FAX #:
ICQ #:
YAHOO PAGER #:
CELL PHONE NUMBER:
OTHER Describe the service:: #
MAIL ADDRESS: (be sure you really want to give
your mailing or home address)
COMMENTS YOU
WOULD LIKE ON YOUR PAGE: (up to 200 words) (Type all
on one continuous line and do not type in ALL CAPITALS)
or
$30 for Expanded
Plus Listing which includes all of
the above, plus any or all of the following:
My picture URL
location:
or
I am emailing my picture to [email protected]
URL for
Personal web page (this cannot be a business page or
advertising of any kind; select the Super Listing
below for business page listings)
or
$30 for Expanded
Plus Listing which includes all of
the above, plus any or all of the following:
I
am emailing my picture to [email protected]
URL for
Personal web page (this cannot be a business page or
advertising of any kind; select the Super Listing
below for business page listings)
or
$50 for Super
Listing which
includes any or all of the above, plus any or all of
the following:
URL for
Business or advertising web page:
My business logo URL
location:
or
I am emailing my business logo to [email protected]
Wording (up to
200 words) for listing (all one continuous line
rather than paragraphs, and NOT all caps.):
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