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Become a member

Ladies, chivalry is not dead. You have come to the right place to meet a successful, busy, single Bachelor seeking a long-term relationship. Typical membership for you is complimentary and we are very selective based on the criteria of our clients. We give you access to the men that you typically will never meet on your own due to their busy schedules. Don't worry ladies you don't have to share the ideas of your dream man with an insensitive man; our female matchmakers will work closely with you to help you meet your Mr. Right.

Please take a few minutes and fill out our initial questionnaire with your contact information. Remember, you must attach a current photograph to be considered. The fields with asterisks are required fields.

Men, click here to fill out a membership form.

BECOME A MEMBER: Women's Form

Name*: 
Email*: 
Home Phone: 
Work Phone: 
Cell Phone: 
Pager: 
Home Address: 
City: 
State: 
Zip: 
   
Occupation/Title: 
Average Annual Income: 
Highest education level? 
How did you hear about us? 
If referral, who referred you? 
   
Age: 
Height: 
Weight: 
Hair Color: 
Eye Color: 
   
Please tell us about the type of person you would like to meet?
   
Current Situation? 
   
Please upload your picture in JPG file format. 
   

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