Dating agency & matchmaking service for professionals & executives – Corporate Singles Introductions - Sydney NSW Australia (612) 9436 1315
Corporate Singles Introductions Dating Agency |ABOUT ME - Questionnaire - Application Introductions | Matchmaking | Social Club-Sydney
WELCOME!
Enter here for your chance to win a luxury accommodation package.
Conditions apply: (conditions: You must collect the prize in persong, be single, and attend a 90 minute consultation with one of our consultants.



At Corporate Singles we have always had a high regard for our customers privacy, and as such our meetings are completely confidential. We will not give your information out unless you are sure you want to meet a potential relationship partner.

The small profile on the About Me page only collects a few pieces of information so our agents can find the services we offer that are the best match for you.

We have never, and will continue to never, sell or distribute our mailing list or customer information with any other company not in our organization.
If you register we will keep your information and let you know when we have services especially for you.
Fill in this mini questionnaire below (1 min)

SECTION 1 - ABOUT ME

fields marked with an : * Required Items Are Highlighted In RED
Create your login and password to access your personalized resources as we create them

We will use your e-mail address as your login.
Please also provide us with a password for your account.
(this does not have to be the same password that you use to access your e-mail account)

  E-Mail Address * :
  Password * :
  Repeat Password * :

Where did you hear about us *?
Which Publication *?


 Title * :
 First Name * :
 Last Name * :
 Occupation * :
Describe your occupation * :
* Best Contact Phone Number :
 The best time
  to contact me is * :
 Mobile xxxxxxxxxx:
Home 02xxxxxxxxxx:
  Work 02xxxxxxxxxx:
This will be used to ensure we service the area you are in.
 City *:
 State *:
 Suburb *:
 Post code *:
Address :

I am interested in
Companionship Expanding Personal & Social Contacts
Friendship Relationship
Expanding Personal Contacts Marriage / Re-Marriage

Indicate your readiness to begin * :

PERSONAL PARTICULARS

My marital status is *:
I am * :
Female   Male
Date of Birth * :

I am:
Age *: Nationality *:
Height *: Weight *:
Children? *: Living with you? *:

 


END OF COMPULSORY SECTION - QUICK REGISTRATION

HERE.



 


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