Dinner and massage exchange interest - 3/30/19

Dinner and massage exchange interest - 3/30/19

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* 1. Name

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* 2. email address

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* 3. repeat email address

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* 4. cell number

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* 5. repeat cell phone number

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* 6. Age

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* 7. Height

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* 8. Weight

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* 9. I plan to attend on the evening of Sat. March 30th

Yes

No

uncertain

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* 10. I have submitted one or more photos of myself to you via email

Yes

No

Uncertain

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* 11. I have confirmed my desire to receive further notices from you via your iContact.com server

Yes

No

Uncertain

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* 12. please keep me on your contact list for future get-togethers

Yes

No

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* 13. comments/ suggestions / questions