Background Information Form (for USA clients only)

This is the background information form to be completed only by our American clients according to the new International Marriage Broker Regulation Act , which comes into effect in USA since March 2006.

Your full name: _____________________________________________________
Previous marriages: (please tell how many marriages did You have and tell the dates of divorces for every Your marriage)
Are you married currently? (yes/no; if yes, please describe)
Children under the age of 18: (yes/no; if yes, please, tell the number of children, their age and the birth dates)
Criminal arrests or convictions: (yes/no; if yes, please describe)
Drug or alcohol related arrests or convictions: (yes/no; if yes, please describe)
Prostitution-related arrests or convictions: (yes/no; if yes, please describe)
Any court orders: (yes/no; if yes, please describe)
States lived in: (please, list the states in USA where You lived)

Please, be ready to prove the background information You provide.

We will show this information translated into Russian language to those women we represent at our internet pages, with whom the man-our-client is interested in a meeting during his stay in St.Petersburg in terms of our Matchmaking Service, together with the man-our-client's profile and photos, before any direct contact between the man-our-client and the woman may take place. The direct contact will be possible after the woman reads the background and personal information and gives us a handwritten confirmation she has carefully read and understood this information and she is agree to be contacted directly by the man-our-client.

Please, notice, that if You are not an American and do not live in USA, You do not need to fill this form.

If You have any additional questions, please, contact us and we will answer Your questions.