Please, fill in this form to request an order confirmation along with your payment instructions:


Your Full name:               
E-mail address:               
Payment option: (check or money order?)   
Permanent address:       
Quantity:                                                           
Prices Reminder:
1 e-mail address: 3$
10 e-mail addresses: 20$ (2$ each)
50 e-mail addresses: 50$ (1$ each)
All e-mail addresses
(more than 370):
100$ (that's less then 27 cents per e-mail!)



Note: All payments are non-refundable.

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"Central Asian Brides" - Find Your Half in Central Asia!