Thank you for your interest in the ICQ Over 40 user list.
To be added to the list, please fill out and submit this form.

Note: For items preceded by a *, answers are required.

* ICQ number * ICQ user nickname Real name (I will not publish any more of your name than what is already shown in the ICQ directory) * E-mail address (will not be published on the website) Language or languages you wish to use Gender (optional) none given male female Age and/or birthdate (optional and doesn't have to be specific) Marital status, location, hobbies, interests, personal information (all optional; you may leave this area blank if you wish) This is not an automatic form. A real person receives it and processes it. If you have any special instructions for this person regarding your entry, please write them below.