Enjoy new friends at... After8Dining...and perhaps find that special person?
 
     

 

Singles dining

Singles Dining - Safe, Secure and Friendly
 

Membership Application Form
 Please fill in and send it to us to become a member of After8Dining
* denotes a required answer
 Payment:  
 The Joining fee is $100.00 for twelve months Membership.  Payment is made at your interview,
Cheque or Cash Only

 

 

   Your Details  
  First name   *  
  Surname   *  
  Town or Suburb   *  
  State   *  
  Postcode   *  
  If we can contact you between 9am and 5pm - what number will we use    
  Phone Number other hours    
  Mobile Phone Number    
  E-mail Address   *  
  Best time or times to contact   *  
 

 

   About You  
  Your Age   *  
  Your Gender   *  
  Status   *  
  Do You Smoke   *  
  Do You drink   *  
  Children   *  
  Occupation   *  
  About Me - (eg. Personality, Interests, appearance)   *  
  What are your favourite Restaurants    
 

 

   Your Perfect Partner  
  Gender    
  Aged From    
  Aged To    
  About Your Perfect Match    

 

 Conditions for Membership   After 8 Dining reserves the right to refuse application for membership without assigning a reason, and to cancel the membership of any person for unsocial or improper behaviour not befitting After 8 Dining.

I ACCEPT THE MEMBERSHIP CONDITIONS
 
      
 

 

 *

 

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Safe, Secure and Friendly

After8dining.com.au  -  Singles Dining 2009

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