Disabled Singles

Post a personal ad...

* Required information.
WARNING: This form will access the default e-mail account on your computer in order to send itself. That e-mail address will not be saved by the editor, or posted on the site, unless it's the same e-mail address that you provide below. If you don't currently have an e-mail account, you may have one at "login name@yahoo.com" OR get FREE e-mail at Hotmail.

NOTICE: This site was designed for disabled people to post personal ads free of charge. If you are not a disabled person, don't bother submitting an ad, as it will not be posted. Please be sure to briefly describe your disability below. This information will not be posted, unless you ask it to be.

Yahoo! ID:

*Important: If you do not appear to have a Yahoo ID, your ad will not be posted to this website.
Check if you already have an ad here and want to modify or add to it.

Name:

* You don't have to give your entire name, unless you want to.

E-mail address:

*
Publish my e-mail address to the DisabledSingles site

Date of Birth:

Select month:

Jan.	Feb.	March	April	May	June
July	Aug.	Sept.	Oct.	Nov.	Dec.

Year of birth:

This information will not be posted on the site. It's to be used so the editor can update your age at the end of the month of your birthday.

Disability:

* What disabilty to you have?
Publish this information to the DisabledSingles site

Location:

* Where are you from? Please include State if from the USA.

Age:

Smoke:

Yes No Occasionally

Drink:

Yes No Socially/Occasionally

Occupation:

Photo:

If you have a pic online, please enter the URL for it. If you don't have a pic online, Send it in an e-mail to [email protected].

Hobbies:

Other Information :

I'm a * seeking a *.

I'm looking for someone for:	Penpals - Someone just to chat with. Dating - Make friends and Have fun. Romance - Looking for the Love of your Life Intimate - Seek sexual encounters

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View Sample Personal Ad...

If this form doesn't work, then copy the text on the blank form and fill in the information...

NOTICE: Please note that the editor of this web site had been very busy with work and other matters. He did not have a chance to check the e-mail address in which your submission may have been sent to, and therefore the e-mail a address was shut down. Any submissions that were made from February of 2002 to July of 2006 were lost when Yahoo deactivated the e-mail account. We apologize for any inconveniences and ask that you resubmit your information.

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