Speed Dating Application Form

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The very first speed dating event to be held in Ozamiz City!

PLEASE READ!
TERMS AND CONDITIONS: https://www.facebook.com/notes/meet-and-match/terms-and-conditions/180483412139572

NAME *

first name, middle initial, last name

ADDRESS *

street no. / street name, barangay, city

AGE *

GENDER *

male

female

OCCUPATION *

CONTACT NUMBER *

(I hereby allow EM02 to release my contact number ONLY to the people, if any, I match during this speed dating)

FACEBOOK ACCOUNT LINK *

(I hereby allow EM02 to release my Facebook account ONLY to the people, if any, I match during this speed dating)

DECRIBE YOURSELF

hieght, basic features, best asset

WHAT MAKES YOU SPECIAL?

WHAT ARE YOU LOOKING FOR IN A PARTNER? *

I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS *

YES

Submit

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