SUBMIT

Submit

Today's Date *

Full Legal Name *

Name must match the one on your Drivers License/Passport

Phone Number *

Email *

Age *

must be exact we may check ID during interview

Own/Rent * OwnRent

How did you hear about us *

FriendFriend

FamilyFamily

MagazineMagazine

TV CommercialTV Commercial

Social MediaSocial Media

OnlineOnline

What is most important to you * LooksMoneyIntelligenceChemistry

Your dating objective * Date FrequentlyCommitted RelationshipMarriageOther

Born and Raised (City/State/Country) *

Where do you live (City/State/Country) *

City State & Country

Education * High SchoolSome CollegeCurrent College StudentAssociate's / 2-Year DegreeBachelor's / 4-Year DegreeCurrent Grad-school StudentGraduate / Master's DegreePhD. / Post DoctoralOther

Instagram/Snapchat *

username(s)

Job Title *

Annual Income *

Height *

Feet & Inches

Weight *

Do you have any children * YesNo

Marital Status * SingleDivorcedWidowed

When was the last time you were in love? What did you love most about that person *

What is the most important thing you are looking for in someone * Appearance Career/IncomeAbility to travelGenerousKindIntelligentKnows what they wantSocial StatusSophisticatedGood Sense of Humor

Do you know anyone you would like to refer (will remain confidential)

Name & Contact Information

Headshot/Selfie *

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Maximum file size: 104.86MB

Upload Photo *

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Maximum file size: 104.86MB

Full body *

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Maximum file size: 104.86MB

You understand and agree that anyone can apply yet not everyone will be accepted *

Agree

You understand and agree that we are an exclusive service and charges (Clients) a yearly membership fee starting at $30,000 and that ALL men pay in order to be in our service *

Agree

You understand and agree that most women also pay to join our service, however we do allow a certain amount of women to join our database for free. In order for you to be considered to join our database for free, an active VIP client must vouch for you, or be interested in meeting you, since we cannot work pro bono *

Agree

You agree to our Privacy Policy and understand that you may not share any of our clients Information with anyone or give our clients/candidates anyones contact information without our written consent *

Agree

I certify that I am acting on my behalf and not on behalf of anyone else *

Agree

I agree that I have read and agree to the Terms of Service *

Agree

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Terms & Privacy

(All inquiries are confidential)

Anyone can apply yet not everyone will be accepted