Personal tour reservation
If you wish to make a personal tour to Russia, Poland
or Latvia, please fill in the membership form below
and validate your reservation by your payment.
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TOUR RESERVATION
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Who
are you?
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First
name |
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Family
name |
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Full
postal address (the
name of the street, the
house number, the flat
number, etc., postal-zip
code, the name of the
city, country) |
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Telephone
number |
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Fax |
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E-mail |
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Nationality |
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Date of
birth (Day/Month/Year) |
Day
Month Year |
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Marital
status (Single
never married, divorced,
widower) |
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Do
you have children? |
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If
yes, please precise
their number, their
sex and age
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Religion |
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Education |
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Profession |
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Languages that
you know
(Indicate
your level for each
language) |
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What
is your physical appearance? |
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Height
(cm)
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Weight
(kg)
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Eyes
color
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Hair
color
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Your
character
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Your
hobbies and passions: |
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Do
you smoke
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Other
informations which are
important
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Who would you like to meet?
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write the ID's of the
ladies that you have chosen. You may
choose more then 10 ladies ias not all
of them will want to meet you. So if
you wish to meet at least 10 ladies,
you can choose 15-20 ladies). Please,
take care to choose only the ladies
from the city where you want to go.
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Service
Personal Tours
The
price of a personal tour is to be payed in 2 times:
1500 euro before your travel and 500
euros at your arrival to the chosen
city.
This price includes the organisation of your meetings
with up to 10 ladies:
the transfer
and the presentation of up to 10 ladies.
Of course, all the travel expenses (tickets,
hotel or flat, food, visa if you need it, insurance,
personal shopping, etc. are at the members charge).
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DESTINATION
I choose the city of my tour:
Of course, all the travel expenses (tickets,
hotel or flat, food, visa if you need it, invitation,
insurance,
personal shopping, etc. are at my charge).
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Payment
I
join the first part
of my payment of
my reservation - 1500 euro by:
Cheque
(check) in Euros
(only for the residents
in France)
International
Money Order or other
Cash service (Western
Union for instance)
in Euro currency (for
all the countreis)
Transfer
(it is easy, especially
if you use online banks
- you can do it on the
Internet, and in the
most of European Countries it is free of charge) - our bank
account: IBAN
(International Bank Account Number)
FR42 2004 1010 1110 3716 1H03 279
Titulaire du compte - Account owner
Mme Martineau Agnieszka
21 rue Rene Bazin
49120 Chemille
France
BIC
(Bank Identifier
Code - Identifiant
International
de l'établissement)
: PSSTFRPPNTE
Bankadresse:
La
Poste
Centre
Financier
de Nantes
44900
Nantes Cheques,
France
Important:
To
validate your reservation please send your payment by bank transfer, or by cheque (only for the residents
in France) or by Mandate-Cash or International Money Order or other Cash service
- for instance Western
Union (for all the countries) in
Euro currency to
our address:
MCM-AMB
21
rue René Bazin
BP 31
49120
Chemillé
FRANCE
Your reservation will be effective after the reception of your payment.
We will send
you the confirmation of your reservation and
we will start to prepare your personal
tour. Reservation
without payment will not be
registered.
The
second part of my payment - 500 euros,
I will do at my arrival to the chosen
city!
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Photo
(picture)
It
is necessary to send at least one picture
of a good quality. This photo will be
introduced to the chosen ladies. You
can send your photograph by e-mail, if you have photographs of digital
format, to the following address :(info@mcm-amb.com)
If you have only paper pictures and
you can't scan them, you can send them
by the post to our address. If it is
possible, please send a few pictures.
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By
checking this box I
certify exact the information provided in this file of membership and I accept the
general conditions of this
membership by sending this form
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| Conformément à la loi
78.17 du 06.01.78 relative à l'informatique, aux fichiers et aux libertés,
l'adhérent conserve un droit d'accès, de rectification et de suppression
concernant les informations qu'il a fournies à l'agence MCM-AMB.
In
accordance with French law 78.17 of 06.01.78 relating to data processing, at the files
and freedoms, the member preserves a right of access, of correction and
suppression concerning information which he provided to agency MCM-AMB.
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