Sign out

RUS

汉语

Give it a try! Sign up to become our partner today!

* Required field

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?*

Payment method

Payment method
Full name of the account holder
Full home address of the account holder
City of the account holder
Country of the account holder
Zip / Postal code of the home address of the account holder
Account number
SWIFT code of bank of the account holder
Full Bank name of the account holder
City of the bank
Full address of the bank
Country of the bank
Please make sure that all the data is correct, complete and has no errors before saving the account details in the form. The site administration is not responsible for the delay in payments caused by the use of incorrect, erroneous or incomplete details provided by the partner.
Card number
Expiration date
Card currency
Full name of the card holder
Phone number of the card holder
Birth date of the card holder
Please make sure that all the data is correct, complete and has no errors before saving the account details in the form. The site administration is not responsible for the delay in payments caused by the use of incorrect, erroneous or incomplete details provided by the partner.
Account number
Full name of the account holder
Please make sure that all the data is correct, complete and has no errors before saving the account details in the form. The site administration is not responsible for the delay in payments caused by the use of incorrect, erroneous or incomplete details provided by the partner.
Account number
Full name of the account holder
Please make sure that all the data is correct, complete and has no errors before saving the account details in the form. The site administration is not responsible for the delay in payments caused by the use of incorrect, erroneous or incomplete details provided by the partner.