Awaken Love Bedroom Builder's Access
We are a bible based marriage ministry! This form is to help keep your business discreet and to verify you are a heterosexual married couple over the age of 18. Once we receive your completed form, we will contact you through email with a link to our services and tools.
Email address *
Are you a heterosexual (man & woman) married couple? *
Date of Birth *
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DD
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How many years have you been married *
Your answer
Anniversary Date *
MM
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DD
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YYYY
Please select yes or no to acknowledge your understanding of our rights to not provide service. I acknowledge that submitting false information will result in denial of services. If I am caught I waive all rights and privileges to Awaken Love Marriage Ministry. I acknowledge and attest that all information I've provided is true. I acknowledge that this statement will be used to prove my identity and as proof of your understanding of our terms. *
First and Last Name *
Your answer
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