Application/ Registration Form

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Email *

Phone *

Package Selection *

Birthday *

Gender *

Interested in... *

Men
Women
Both

Food Restrictions/ Allergies: *

What is your reason for applying? *

What has been your experience with dating thus far? *

What do you find most important in life? *

What qualities does your perfect match possess? *

What are your non-negotiables for a future spouse?

What area of your dating life do you feel needs the most work? *

What makes you most happy? *

Upload your Picture(s) *

Click or drag files to this area to upload. You can upload up to 3 files.

Signature *

I represent that I am at least 21 years of age and older, have read, understand, am competent and agree to the terms and conditions listed here: www.lizmatches.com/terms

Needs & Assessment Phone Interview *

Date

Time

Please choose your availability for your 30 minute comprehensive needs & assessment phone call interview with LizMatches via the scheduling tools above.

Liz Matches Service Package

$735.00

- Four pre-arranged dates. Each date will include meeting a new personalized match.
- Liz discusses your dating preferences and provides expert advice on dating techniques.
- Arrangements for your date will be at one of our designated venues. Your portion of the prefix date is paid for in advance, allowing you to relax and have fun.
- 25% off any future Liz Matches Speed Dating Events ( valid for up to 2 admissions )

Availability is limited.

Package renewal is not guaranteed. Past clients will need to resubmit their application which will be subject to review.

 * ( Limit 1 Service Pack per person / yr.  )

Category: Uncategorized

Liz Matches Service Package

Availability is limited.

Package renewal is not guaranteed. Past clients will need to resubmit their application which will be subject to review.

Liz Matches

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