Express Interest Form - Thai Lady Dating Tour

“Other Western Guys Have Found Lasting Love With Asian Women & You Can, Too”.
– Nathamon Madison

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Fill This Express Interest Form & Get My Free Matching Consultation PLUS
Download Your Copy of “The Smart Man’s Way To Love & Happiness With
The Right Thai Women”

About You

  • YES. I want to find my life partner. I’m not looking for sexual hook ups or short-term flings.
  • YES. I’m legally single, I’m looking for a sincere lady who’s ready for commitment & a genuine relationship.


Name *

Upload at least one photo (Max file size: 1 MB)

Photo 1
Photo 2
Photo 3


Marital Status:



Smoking Habit
Do smokeDon't smokeOccasionally smoke

Drinking Habit
Do drinkDon't drinkOccasionally drink

Sports & Exercise
Very ActiveActiveSomeNone

Do you have dependents living with you?

Do you want children?
No1234+Not important

Would you relocate for the right relationship?
YesNoNot sure about relocate

What is it that’s important to know about you?


About Her


What is the age range of the lady that you're looking for?
20 - 30 yrs old31 - 40 yrs old41 - 55 yrs old

Do you have a preferred height?

Do you have a preferred weight?

Do you have a preferred educational level? Please reverse the order: from “Not important” to “PhD”
PhD or DoctorateMasters degreeBachelors DegreeVocational CollegeHigh SchoolPrimary SchoolNot important

Is it okay if the lady has a children?
No, it’s not okayYes, it’s okayNot important

Do you want a lady who wants to have children with you?
YesNoNot sure

Her preferred English level?
Not importantVery goodGoodSome

Her drinking habits?
Not importantDoes drinkOccasionally drinksDoesn't drink

Her smoking habits?
Not importantDoes smokeOccasionally smokesDoesn't smoke

Her sports & exercise?
Very activeActiveSomeNot important

Does she have to relocated to be with you?
YesNoNot sure about relocation

What are the qualities of the lady you are looking for?

This is how to contact me.





Line ID:

This is when you should contact me.

Days of the week:

Time of the day:

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