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Agency name*

Country*

City*

Legal office address*

Office location address*

Address*

Region/State

Office phone number*

( )

Director's phone number

( )

Owner's phone number

( )

Phone 1

Number*

( )

Whatsapp Viber

Full name*

Office position*

Phone 2

Number

( )

Whatsapp Viber

Full name

Office position

Phone 3

Number

( )

Whatsapp Viber

Full name

Office position

Skype

E-mail 1

Address*

Full name

Office position

Receive notifications

E-mail 2

Address

Full name

Office position

Receive notifications

E-mail 3

Address

Full name

Office position

Receive notifications

Website

Owner's name*

Director's name*

Manager's name

Director's passport (< 3Mb)

Director's passport Registration (< 3Mb)

Recipient's passport (< 3Mb)

Recipient's passport Registration (< 3Mb)

Owner's passport * (< 3Mb)

Owner's passport Registration * (< 3Mb)

Date of agency establishment *

Is your agency registered as a business? *

Proprietary form of you agency *

Is Agency's work done in the office building? (what address) *

Do you have an office to invite female clients? *

Permanent agency workers number *

Do you have professional interpreters (how many)? *

Is there a professional photographer in the agency? *

How many ladies are there in your agency?*

What is the average age of your female clients? *

Do you have examples of happy marriages? *

Do you cooperate with any other sites in the same way (what sites)?*

Does your agency have any experience how to work with chats or video chats? *

Are your female clients interested in chatting or video chatting? *

Do you have any facility (computers, Internet, web-cams) to help you female clients to chat or video chat? *

Does your agency have video introduction of female clients? *

Where did you learn about www.polovinka.com?*

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