KOTKOVSKI Enquiry Form

Please complete all sections of this form as completely and accurately as possible. Tell us about yourself and what you are seeking in a partner. All personal information will remain confidential
Your full name*
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Sex*
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Your age*
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Your marital status*
Please tell us your marital status!

Your nationality*
Please tell us your country of citizenship!

Your place of residence*
Please tell us where do you live!

Your racial background*
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Your religion*
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Your HIV status*
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Do you smoke?*
Please tell us if you smoke!

Do you drink alcoholic beverages?*
Please tell us if you drink alcoholic beverages!

Do you use any illegal drugs?*
Please tell us if you use any illegal drugs!

Your monthly net income*
Please tell us your income!

What do you do for a living?*
Please tell us what do you do for a living!

Do you have a criminal record?*
Please tell us if you have a criminal record!

Your e-mail address*
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Your phone number*
Please provide your phone number!

Your Skype name

Best way to contact you*
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Please describe your ideal partner. Her age, physical appearance, level of education, etc.*
Please describe your ideal partner!

Best time and date to reach you

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Please attach a recent photo of yourself
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VIP Membership

ONLY US$499 FOR 6 MONTHS

Cell: +7 (985) 879 9363

3-A Mashtakova st. # 9, Podolsk, Moscow region, Russia, 142110

Your Gateway to the World of Russian Dating

Business Hours and Company Information:

KOTKOVSKI, LLC
INN 5036137061
Director:
Grigoriy Kotkowski

Daily from 10am till 8pm. Moscow time (GMT +3)

  • Daily: 3am to 1pm (New York)
  • Daily: 8am till 6pm (London)
  • Daily: 5pm till 3am (Sydney)