Application
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Race: | Sexual Preference: | |||||
Date of Birth: | Age: | |||||
Release Date: | Marital Status: | |||||
Height: | Weight: | |||||
Measurements: | Eye Color: | |||||
Hair Color | How Many Children | |||||
Religion: | Racial Preference: | |||||
Education: | Do You Smoke: | |||||
Occupation/Career: | Home Town: | |||||
Willing to relocate? | Nationality: |
Write to me at: |
Please tell us with about 150 words or less, about your interest, any hobbies, enjoyable activities, plans for the future, or the type of things you would find interesting in other people. Write on other side if more room is needed.________________________________________________________________________
________________________________________________________________________
Todays Date:
Mail Application To:
PBI
c/o McLloyd
P. O. Box 3621
Wichita, Ks. 67201