Registration Form

    Personal Details

    Address Details

    Contact Details

    Additional information

    Additional information - Children

    Your physical appearance

    Education & Occupation

    Hobbies / Interests / Sport

    You & God

    General Information

    About You & Your Ideal Match

    AnyBlack AfricanColoured / AsianCaribbeanCaucasian / WhiteHispanic / LatinoIndianMiddle EasternNative AmericanPacific Islands
    Anywhere in EnglandAnywhere in ScotlandAnywhere in Northern IrelandCentral and East EnglandNortheast EnglandNorthwest EnglandSoutheast EnglandSouthwest EnglandNorth WalesSouth WalesNorth ScotlandSouth ScotlandEast Scotland

    Final questions

    SILVER – £170 (once off) ; valid for 12 (consecutive) months membership.

    “Across the board” Introductions ; including:  Middle Management, Administration, IT, Sales, Marketing, Secretarial, Ministry, Civil Service (e.g. Nursing, Army etc) and Artisans which include e.g. Electricians, Firemen, Mechanics, Plumbers, Panel Beaters etc.

    DIAMOND – £240 (once off) ; valid for 12 (consecutive) months membership.

    Top Level Professional Introductions: Diamond Members shall be entitled to Exclusive Introductions i.e. to other Unattached Business Executives / Professional Committed (born-again) Christians.
    We will not overlook Middle Management or anyone else who might fit your profile. Which is essence means that the DIAMOND package entitles the member to a wider selection;
    choices unlimited!

    SILVER

    SILVER – £170 (once off) ; valid for 12 (consecutive) months membership.

    “Across the board” Introductions ; including:  Middle Management, Administration, IT, Sales, Marketing, Secretarial, Ministry, Civil Service (e.g. Nursing, Army etc) and Artisans which include e.g. Electricians, Firemen, Mechanics, Plumbers, Panel Beaters etc.

    DIAMOND

    DIAMOND – £240 (once off) ; valid for 12 (consecutive) months membership.

    Top Level Professional Introductions: Diamond Members shall be entitled to Exclusive Introductions i.e. to other Unattached Business Executives / Professional Committed (born-again) Christians.
    We will not overlook Middle Management or anyone else who might fit your profile. Which is essence means that the DIAMOND package entitles the member to a wider selection;
    choices unlimited!

    Please note:

    All fields in this form are required. We will not be able to compile your profile or supply you accurate matches without all information provided in full.

    • Fields marked with will appear on your profile.
    • All other fields unmarked with are for Administration/Record purposes ONLY and will NOT be included in your profile or for publication.
    • PLEASE NOTE: Member’s details are never posted on our website or any other publication/Social Media platform. Profiles (during selection process) are ONLY emailed to SELECTIVE members and NOT to all and sundry.
    • Any questions regarding the completion of Form, please use the form on the contact page to contact us.
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