Online Application

 

 

Online Application

All fields are required.

Step 1: Your Requirements In A Partner

Gender
Age Range
Occupation
Marital Status
Would you meet someone with dependent children?
Height
Build
     
  
Preferred Heritage
           
Location
           
Would you meet someone who smokes?
Would you meet someone who drinks alcohol?
Personality / Way of life
State other qualities you admire in a partner
Would you meet a partner who works away?
Would you relocate for the right partner

Step 2. About You

Gender
Date of Birth
Age
Do you have any physical disablities?
Marital Status
When was your last meaningful relationship?
What do you feel were the main reasons for separation?
Height
Build
     
  
Hair Colour
Eye Colour
Heritage
Do you smoke?
Do you drink alcohol?
Are you...         
     
        
        
     
Do you have a criminal record? If yes, state the nature.
Would you like your profile and/or photographs placed on our website free of charge?
Are you available to be matched immediately?

Step 3. Transport and Accommodation

Which vehicles do you own?         
What is your accommodation?

Step 4. Your Children

Do you have any children?
Number of children
Age/s
Custody or Access?
Do you wish to have children in the future?
If so, how many?

Step 5. Your Interests

What is your religion?
                                                                                   
How would you describe yourself?
Is your long term goal to find:

Step 6. Your Contact Details

First name
Last name
Phone
Email
Can be given out
Postal Address
Address 2
Suburb
Postcode
State

Step 7. Occupation and Nationality

What is your occupation?
Employed By
Education Qualification
What is your nationality?
Years in Australia

Step 8. Identification & Payment

Driver's License Number
Medicare Number
Passport Number

NOTE: NO REFUND WILL BE MADE UNDER ANY CIRCUMSTANCES. THE COMPANY AND/OR PROPRIETOR SHALL NOT BE RESPONSIBLE AND LIABLE FOR ANY CLAIMS, DAMAGES OR ANY OTHER LIABILITIES WHICH MAY ARISE DURING AND AFTER THIS APPLICATION HAS BEEN MADE.

I FULLY UNDERSTAND AND ACCEPT THE CONTENTS OF THE ABOVE. I CERTIFY THAT ALL THE PARTICULARS GIVEN ARE TRUE TO THE BEST OF MY KNOWLEDGE AND THAT I AM IN A POSITION TO MEET UNATTACHED PARTNERS OF THE OPPOSITE SEX.

APPLICATION COST: $395 / 6 Months (inc. GST)
I wish to pay the above cost by
Please Debit My
Numbers
Card Exp. Date
DIRECT DEPOSIT INFORMATION
BANK: WESTPAC
ACCT NAME: Solutions Matchmaking Pty Ltd
BSB: 036 041
ACCT NUMBER: 235353

Speak to a Consultant

Obligation-free

Free Review

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We will then contact you immediately and upon your request, provide you with details of potential partners.
SIMPLE, FAST, EFFICIENT.

Happy Couples

Engaged!! Just a short note to thank you. In August I joined your service and my first contact was Caroline. We met on the South Perth foreshore and since that day we have had a beautiful friendship and relationship. I was a first time lucky and consider my money very well spent. Once again thank you!

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