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In Office Individual Introductions Payment Form
Asian and Latin American Countries ONLY
Enter your destination city and desired date or dates for your introductions:
(NOTE: This form is for
Asian and Latin American countries personal introductions ONLY
. For Ukraine, Russia and other European countries, please use our
European Introductions Order Form HERE
.)
City & Country:
Introduction Date(s):
Select how many women that you would like to meet in this city?
The introduction to each woman is $125.00 per woman. It is refundable or creditable if you don't meet for whatever reason.
There is
ONE office registration fee of $150.00
that is
included
in the prices below. This registration fee is
good for 10 days only and for ONE city (office) only
.
1 Woman - $275 ($125 + $150 office registration fee)
2 Women - $400 Total ($125 each + $150 office registration fee)
3 Women - $525 Total
4 Women- $650 Total
5 Women - $775 Total
6 Women - $900 Total
7 Women - $1,025 Total
8 Women - $1,150 Total
9 Women - $1,275 Total
10 Women - $1,400 Total
• If you are hoping to meet more than 10 women during your visit, you should seriously be considering our "
Individual Club Tour
" options. You can schedule these for anytime and they will
provide you with much more value for a similar or lower price
. Please explore our
Asian Club
or
Latin Club
options.
• If, for any reason, you are unable to meet any of the women that you select,
your money will be refunded or credited
(optional) for that (those) women. We do not
GUARANTEE
that we can arrange a meeting with ANY of the women.
• It is unrealistic to expect to meet more than 3 or 4 women per day at the most. We must consider the women's availability and schedules. We will do our best to accommodate your schedule.
Please keep this in mind when planning your trip schedule and try to be as flexible as possible
.
Enter The Information For The Women That You Want To Meet
All of the women must be from the
SAME
city (or office region).
Please try to list the ladies of highest interest first.
If you don't have your complete list of ladies yet,
you can forward them later to our travel department.
Woman #1 Name:
ID Number:
#2 First Name:
ID Number:
#3 First Name:
ID Number:
#4 First Name:
ID Number:
#5 First Name:
ID Number:
#6 First Name:
ID Number:
#7 First Name:
ID Number:
#8 First Name:
ID Number:
#9 First Name:
ID Number:
#10 First Name:
ID Number:
Client Information
First Name:
Last Name:
Email Address:
Be sure to enter your account / login email.
Street Address:
City:
State:
Zip Code:
Country:
USA
AFGHANISTAN
ALGERIA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
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BURMA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
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CHINA
CHRISTMAS ISLAND
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COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC)
COOK ISLANDS
CORSICA
COSTA RICA
COTE D'IVOIRE
CUBA
CYPRUS
DENMARK
DJIBOUTI
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EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ETHIOPIA
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FIJI
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KENYA
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KOREA, SOUTH
KUWAIT
LAOS
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LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
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MALDIVES
MALI
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MANUA ISLANDS
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NIUE
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OMAN
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SRI LANKA
ST VINCENT AND THE GRENADINES
ST. CHRISTOPHER
ST. HELENA
ST. PIERRE AND MIQUELON
SUDAN
SURINAME
SVALBARD AND JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
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THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TRISTAN DE CUNHA
TUNISIA
TURKEY
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
USA
USA MINOR OUTLYING ISLANDS
VANUATU
VATICAN CITY STATE (HOLY SEE)
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALES
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
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