Site hosted by Build your free website today!

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* E-mail address (will not be published on the website)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)

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.