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<h3 style="margin-bottom: 0em;">Account Login</h3>
Username
*
E-mail Address
*
Password
*
Confirm Password
*
<h3 style="margin-bottom: 0em;">Private/Internal Information</h3>
Please enter your REAL NAME. This information is securely stored for internal review and will NEVER be shared or visible to the public or others members.
First Name
*
Last Name
*
Phone Number
*
Preferred Method of Contact
*
Text
Email
Phone
Permission to Text/SMS
*
YES
NO
Best Time to Call
Birth Date
*
City of Residence
*
Photo ID Upload
*
Upload
Photo ID Upload
Upload
Employer Name or LinkedIn Profile URL
*
Annual Income Level
*
$0-$50k
$50k-$100k
$100k-$150k
$150k-$250k
$250k-$500k
>$500k
Relationship Status
*
Single
Separated
Married
Divorced
It’s Complicated
Looking For:
*
Dating
Fling
NSA Relationship
Partner in Crime
Sports Fan
Travel Partner
Let's Party
Any Special Like or Desires?
Any Deal Breakers?
References
How did You Hear of Us?
What is Your Primary City/Location?
*
Chicago Area
New York Area
Los Angeles Area
San Francisco Area
What is your Secondary City/Location?
Chicago Area
New York Area
Los Angeles Area
San Francisco Area
<h3 style="margin-bottom: 0em;">Profile Information</h3>
Display Name
*
Profile Photo
*
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Profile Photo
Upload
Height (ft/inches)
*
Weight (lbs)
*
Eye Color
*
Brown
Black
Blue
Green
Hazel
Amber
Grey
Other
Body Type
*
Thin
Athletic
Average
A Few Extra Pounds
Heavy
Hair Type
*
Short
Long
Shaved
Bald
Punk
Other
Hair Color
*
Black
Brown
Blonde
Red
Gray
Salt & Pepper
Facial Hair
*
None
Stubble
Mustache
Trimmed Beard
Full Beard
Neck Beard
Bio
*
Tell us about yourself.
Only fill in if you are not human
