Application Form
Complete our application form today.

To properly evaluate your needs and requirements, please complete our application form below. A dating consultant will then contact you for an informal chat. Once we understand you on a personal level we will be able to arrange introductions for you with other eligible singles.

*To ensure that our members meet a high calibre of single people then we do (regretfully) have to decline some applications.

Email address
Title
Forename
Your answer
Surname
Your answer
Nationality
Your answer
Country of origin
Your answer
Your ethnicity
Accommodation
Address
Your answer
Postcode
Your answer
Accommodation type
Who do you live with?
Contact Details
Telephone Number
Your answer
Mobile Number
Your answer
Skype Address
Your answer
When is the best time to be contacted?
How would you like members to contact you?
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