Male Application Male Application Today's Date * Full Legal Name * (must match your Driver's License or ID) Phone Number * Email * Home Address * Home Address Home Address Home Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country How long have you lived at this address * Do you own any other properties? if so where? * Born and Raised * Current Age * Birthday * How did you hear about us OnlineOnline FriendFriend FamilyFamily MagazineMagazine Social MediaSocial Media Degree * YesNo Degree(s) What type and from where Occupation (Include Title & Field) * Company name Annual Income * Net worth * Hair Color * Eye Color * Height * Weight * Pant Size * Marital Status * SingleDivorcedWidowed If you were married how long were you married for ? * (If never married write no) If Divorced when was it finalized? * (If never married write no) Do you have any children (If so what ages) * Do you want any (more) children * Your Religion * If you were madly in Love would you relocate? * YesNoMaybe How often do you travel (Mostly for work or leisure?) * How often do you drink * OccasionallyOftenSociallyNeverQuitting Check (7-10) Hobbies * Working Out Traveling Hiking Yoga Fine Dining Boating Paddle Boarding Beach Dancing Movies TV Reading Writing Cooking Baking Watching Sports Live Sports Nascar Night Clubs Golf Tennis Skiing Charity Events Entertaining Pilates Theater Museums Scuba Diving Learning New Languages Concerts Broadway Shows Concerts Ballet Karaoke Art Show Check (7-10) Characteristics * Loyal Genuine Sweet Well-Traveled Generous Good Sense of Humor Patient Kind Playful Open Minded Ambitious Family Oriented Stylish Easy Going Good Conversationalist Spontaneous Intelligent Creative Charitable Romantic Passionate Witty Active Fun Funny Nurturing Warm Laid Back Charming Honest Independent Outgoing Conservative Punctual Cultured Check Top 4 Characteristics you are looking for in a partner * Feminine Genuine Sweet Well-Traveled Gracious Good Sense of Humor Patient Kind Open Minded Honest Easy Going Good Conversationalist Spontaneous Intelligent Charitable Romantic Passionate Playful Witty Nurturing What are you most interested in * Just to Date Committed Relationship Long Term Relationship that will lead to Marriage Marriage What is more important to you * IntelligenceLooksMoneyChemistry What ethnicity would you not consider (if any) * Are you part of any other dating service or application ? * What sets you apart from most other men? * When was your last long term relationship? How long was it for? * And why did it end When was the last time you were in Love? What did you love most about her? * Also what was it about her that you loved most Photo * Drop a file here or click to upload Choose File Maximum file size: 104.86MB Photo * Drop a file here or click to upload Choose File Maximum file size: 104.86MB Photo * Drop a file here or click to upload Choose File Maximum file size: 104.86MB No Photoshop You agree that you have read and agree to our Terms of Service. * Agree You agree that you have read and agree to our Commandments/Club Rules. Linked below * Agree You agree to our Privacy Policy and understand that you are not to give any of our member's information to anyone without our written consent * Agree You agree that you are not to ask or mention being part of any other dating service or dating application with any of our clients or candidates * Agree You agree to disclose to Billion Dollar Introduction if you have any prior criminal background, or if you end up having any criminal problems come up in the future, you must notify us immediately. * Agree You agree to respect the privacy of all Clients/Candidates and to not disparage any Clients or Billion Dollar Introduction, publicly or privately, orally or electronically. Without our written authorization. * Agree You agree to our E-Sign Disclosure and Consent linked below * Agree I certify that I am acting on my own behalf and not on behalf of another person * Agree Captcha If you are human, leave this field blank. 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