Step 1 of 3 - Sign up for an event

First and Last Name:
Your Age:
Email Address:
Phone:
Successful match contact method:	- please select one - Contact me by phone Contact me by email
Sex you wish to match with:	- please select one - Match with female Match with male
Your sex:	- please select one - I'm female I'm male
Event date you wish to attend:	- please select one - Feb 4th, 2009 - 8pm Feb 11th, 2009 - 8pm
Join our mailing list?:	- please select one - Yes please No thank you
Comments or Questions:
we accept

Our next speed dating events

February 4th, 2009 - 8:00pm
Thai Palms Restaurant
(Men and Women Ages 25 - 35)
$35.00 per participant

February 11th, 2009 - 8:00pm
Thai Palms Restaurant
(Men and Women Ages 32 - 50)
"Love is in the Air" - promo event
only $10.00 per participant!

Please note that all speed dating events require advanced registration so that we may ensure an equal number of potential matches. If you are not able to register in advance for an event, you may show up to the event, however, we may not be able to guarantee a spot if we do not have an equal number of participants.

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