Please complete the form below and answer the body-building questions carefully.

Personal Information

Name: Address: E-mail Address:

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Make your decisions carefully. This body will belong to you. YOU are in control!!!.

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Gender

Female Male None

Sexuality

Heterosexual Homosexual Bisexual Transvestite Asexual

Skin Color

Pinkish White White Olive Light Brown Brown Reddish Brown Dark Brown Black Transparent

Red Green Blue Indigo Purple Emerald Ebony Tie Dye

Other: please describe

Resolution

Hi Res Lo Res

Age Group

Specific

Body Parts

HEAD yes no

Eyes:

yes no

Mouth:

yes no

Ears:

yes no

Teeth:

yes no

NECK yes no

TORSO yes no

Breasts

none

small

medium

large

Abs

none

flat

cut

rolling

beer belly

Overall

none

puny

medium

large

GENITALIA

none

specify:

ARMS yes no

LEGS yes no

BUTT

none

small

medium

large

xlarge

Name Your Body

Name:

Number of Bodies

How many bodies would you like matching your desired body? 1 2 3 4

I want to assemble the body! Yes! No! I want to exhibit my body at the Body Construction Gallery Yes! No!

Comments and Special Instructions Please enter any comments or special instructions you have in the area below.

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Virtual Concrete is a completely non-profit service dedicated to enlightening the masses.

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