Select Personal Introductions logo

Application Form

Become part of our singles dating network

Dating Agency & Matchmaker specialising in the Northwest & Leeds. For elite singles who want real relationships with real people.

Completing our Application Form is an all-important first step for your future happiness and we will explore this in more depth to ensure that we introduce you to single people that are right for you. Our sensible approach also includes identity checks for security. You do not need to provide card details to submit this form and you are under no obligation to join.

So that we can learn more about you and help find your perfect match, please complete all 13 sections.

Spread the love