|
Please complete the following
www.birminghamuk.com |
||||
|
Your Name:___________________________________Age:_________Occupation:_______________________ Location:_____________________________________Status(m/single)_____________________________ Place of birth:_______________________Ethnic origin:_________________________________________ Favourite Pub:______________________________Favourite Club:________________________________ Favourite Food:_____________________________* contact number: _____________________________ * The contact number given does not appear on the web site unless you specifically request it Email address:______________________________(to appear on web site YES/NO)_____________ About you (the text): Include things like what you would do if you won the lottery and some things about your character that others might find interesting:
What you like most about the West Midlands: _____________________________________________________________________________ What you like least about the West Midlands: _____________________________________________________________________________ Favourite soap:_______________________Actor:_____________________ Likes:_________________________________________________________ Dislikes:_______________________________________________________ Hobbies:__________________________________________________________________________________ Worst habit:_________________________________Best Quality:____________________________________ Regrets:____________________________________Biggest event of your life:_________________________ This information will not be passed on to any third party and you can remove your details at any time |
||||
|
www.birminghamuk.com - |
|
|
|
|
|
|
|
|
|
|
|
|
||||