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  image (02) 9436 2346
Ext. 300
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Us
 
Any information supplied to is for internal use by authorized personnel only.
Under no circumstances will any information supplied to use be released to outside parties for any reason.
We respect your privacy.


Getting Started

To begin the process and tell us what we can start doing for you please enter all the information in the About Me profile.
  • Call our office at Sydney (02) 9436 2346 Ext. 300, or tell us about you in the About Me page.
  • Following review of the initial information we will arrange an in person interview for you.
  • Your first interview is a matterer of reviewing your expectations and what you need from a relationship and matches you to a program that will best suit you.

    Young At Heart agents will be the only people to view your information on the About Me team, and this is only because we want to get the most out of the information to assist you.
    We respect your right to privacy. Please take a look at our confidentiality page for full details.
Our offices are currently Sydney but we are always looking to grow our services on and off the internet.  If you register we will keep your information and let you know when we have services especially for you.

SECTION 1 - ABOUT ME

fields marked with an * asterisks are required
Create your login and password to access your personalized resources as we create them

We will use your e-mail address as your login.
Please also provide us with a password for your account.
(this does not have to be the same password that you use to access your e-mail account)

  E-Mail Address * :
  Password * :
  Repeat Password * :

Where did you hear about us *?
Which Publication *?


 Title * :
 First Name * :
 Last Name * :
 Occupation * :
Describe your occupation * :
* Best Contact Phone Number :
 The best time
  to contact me is * :
 Mobile xxxxxxxxxx:
Home 02xxxxxxxxxx:
  Work 02xxxxxxxxxx:
This will be used to ensure we service the area you are in.
 City *:
 State *:
 Suburb *:
 Post code *:
Address :

I am interested in
Companionship Expanding Personal & Social Contacts
Friendship Relationship
Expanding Personal Contacts Marriage / Re-Marriage

Indicate your readiness to begin * :

PERSONAL PARTICULARS

My marital status is *:
I am * :
Female   Male
Date of Birth * :

I am:
Age *: Nationality *:
Height *: Weight *:
Children? *: Living with you? *:

 


END OF COMPULSORY SECTION - QUICK REGISTRATION

HERE.

Find the service that's right for you visit these helpful links:


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