About Us
What we're about
Success
The Girls
The Boys
Contact Us
Reply Form
Reply Form
Please enter your details below and send your request through to us.
Tell us more about yourself...
1. Are you...
Male
Female
2. Are you...
Single
Divorced
Legally Separated
Widowed
3. What is your age?
4. Do you have children ?
Yes
No
If yes, how many and what are their ages?
Do they live with you ?
Yes
No
5. Educational Background:
Secondary School
College
University
Masters
PhD
Professional Qualifications:
6.Are you currently employed?
Full Time
Part Time
No
Retired
Self Employed
7. What is you current occupation?
If retired, what was your previous occupation?
8. What is your Income?
Up to £10,000
£10-15,000
£15-20,000
£20-25,000
£25-30,000
£30-50,000
Over £50,000
9. Do you have your own vehicle?
Yes
No
10. What other methods have you used to meet people?
Friends /Relatives
Pubs / Clubs
Work
Chance
Dating Agency
Church
11. How successful have these methods been?
12. What aspects of being single do you dislike?
Your details:
Name
Address
Postcode
Tel Home
Tel Work
What is the best time to phone you?
The person you'd like to meet most...
1. Their Age...
From
to
2. What education level do you prefer?
Secondary School
College
University
Masters
PhD
Professional Qualifications
Doesn't Matter
3. What interests would you like to share?
Sports
Cultural Activities
Music
Dancing
Hobbies
4. Which of these attributes do you consider important?
Appearance
Profession
Income
Romance
SOH
Education
Moral Standards
5. What personality traits do you look for in members of the opposite sex?
Submit your form:
Click submit to send the form to us by email. Alternatively print the form out, write out your answers and fax it to us.