Ann Wood The Matchmaker

 

 
       
 
Name_______________________________________________________________________________________________________

Address_____________________________________________________________________________________________________

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Office Tel. _________________     Home ____________________     Cell _______________________________________________

Birth Date ________________________________________________    Height ________    Weight _______    Smoker    ______

College or University___________________________________________________________________________________________

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Profession___________________________________________________________________________________________________

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Marital Status ____________________    Children __________________________________________________________________

My religious background is _____________________________________________________________________________________

My interests are ______________________________________________________________________________________________

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___________________________________________________________________________________________________________

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I'm looking for ________________________________________________________________________________________________

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Please mail with a picture to P.O. Box 3723, Washington, D.C. 20027
 
 

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