Registration Form


 
Yahoo Quick Search

SINGLE GENTS Registration.

Name/ Names :
If you are a club member what is your membership number please.
Which party are you registering for?
Do you have a face picture on RHP or CI website yes
no
Username (single guys only ) on www.couplesinternational.com.au
Username on www.redhotpie.com.au (single guys only )
Email Address:
What is your age.?
Relationship Status Married (and my wife knows i am coming)
Seperated
Single
Divorced
Have you attended CI before!
If you have not filled out a profile you are able to submit a face picture via this form , a face picture must be supplied to enter as a single gent.

Thank you for your registration , we will notify you via email of the details of the party that you will need to attend.

See you at Couples International.

Australia's First and Only Council Approved Swingers Club.

Share

This page has been visited times.

This page created using the webpage creation facilities of Webspawner.
Copyright © 2010 Leesa . All Rights Reserved.