Personal Ads Bio Sheet

Client Bio Sheet

Your bio is a very important part of this service and should be as accurate as possible. This information will be your (video) personal ad, so take a few minutes and tell us about you.

I am:		Male	Female

The category to place my video personal ad in is:

I am a Man who is Seeking Women	I am a Woman who is Seeking Men
I am a Woman Seeking Women	I am a Man Seeking Men
Alternate Lifestyles

I Have Children:	Yes	No
Smoker:	Yes	No
Drink Alcohol:	Yes	No


Your first name:
City you live in:
State you live in:	Click on Down Arrow to Make Selection
Age:	This is required for our search
Height:
Weight:	Pounds
Education:
Occupation:
Personal Status:
Ethnic Background:
Your characteristics and interests:	(easy going, honest, sincere, intelligent, caring, successful, fun, attractive, extrovert, highly driven, sense of humor, sexy, want or do not want children) hobbies can be……..skiing, cooking, art, camping, reading, athletics, travel, sailing, couch potato, theater, gardening, etc..
Characteristics of the partner you desire:

The following information is for our records only and will not appear with your personal ad nor will it be given out. It is needed for us to be able to contact you and send the information necessary to set up and confirm your e-mail system for messages. Make sure your e-mail address is entered correctly and your email account permissions allow incoming mail from VideoDate USA. We will delete personal ads that have invalid e-mail addresses.

Your full name:

Street Address:

City:

State:

Zip Code:

Phone number:

E-mail address: Required to receive email response notification

Please select a screen name and password that gives FREE access to read e-mail messages sent to you.

Message Screen Name:

Message Password:

Please print your completed bio sheet for your records before 'clicking' the submit button below.

Your full name:
Street Address:
City:
State:
Zip Code:
Phone number:
E-mail address:	Required to receive email response notification

Please select a screen name and password that gives FREE access to read e-mail messages sent to you.
Message Screen Name:
Message Password: