Honeypot Application Form

CONFIDENTIAL APPLICATION FORM

NAME:..........................AGE(FEMALE)....  AGE(MALE).............................

ADDRESS:.....................................
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CITY/TOWN/COUNTY:...............................................

EMAIL ADDRESS:..................................................

PLEASE TICK:- MIXED COUPLE:...LONE FEMALE:...LONE MALE:.............

HOME PAGE: Yes/No.. PHOTO ENCLOSED: YES/NO.....

EXISTING HOME PAGE (if any):http.www........................

Please enter fully, in confidence, your likes/dislikes here:................

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I/We confirm being over 18 years of age

Signed: (1)...................

        (2)...................

Do you wish your photo/s to be published? YES/NO 

24 hour HOTLINE: 07811 526475
Email address: swingers@introlink.com