Application form:

NAME/SURNAME
E-MAIL
CITY OF DATE
PHONE NUMBER
TYPE OF DATE
TERM APPLICATIONS
AGE
INTERESTS
ADDITIONAL INFORMATION WE SHOULD KNOW ABOUT

Contact details:

 

For customers randki@randkiw5minut.pl

 

For the media – biuro@randkiw5minut.pl

 

Account number:
34 2030 0045 1130 0000 1605 0150
In the title of payment to enter the date , type of dating and name.