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.
TOUR RESERVATION
Who
are you?
First
name
Family
name
Full
postal address (the
name of the street, the
house number, the flat
number, etc., postal-zip
code, the name of the
city, country)
Telephone
number
Fax
E-mail
Nationality
Date of
birth (Day/Month/Year)
Please choose
January
February
March
April
May
June
July
August
September
October
November
December
Marital
status (Single
never married, divorced,
widower)
Please choose
Single (Never Married)
Divorced
Widow
Separated
Divorcing
Do
you have children?
Please choose
Yes
No
If
yes, please precise
their number, their
sex and age
Religion
Education
Profession
Languages that
you know (Indicate
your level for each
language)
What
is your physical appearance?
Height
(cm)
Weight
(kg)
Eyes
color
Hair
color
Your
character
Your
hobbies and passions:
Do
you smoke
Other
informations which are
important
Who would you like to meet?
(Please,
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.
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:
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).
DESTINATION
I choose the city of my tour:
Please choose
Saint-Petersburg (Russia)
Poznan (Poland)
Riga (Latvia)
Rostov-on-Don (Russia)
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).
Payment
I
join the first part
of my payment of
my reservation - 1500 euro by:
(only for the residents
in France) IBAN
(International Bank Account Number)FR42 2004 1010 1110 3716 1H03 279 Titulaire du compte - Account owner
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
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!
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.
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
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.
