摘星良緣 - SpeedDating Sign Up Form  香港人在新加坡 X 透視新加坡配對服務  
Please make sure the information provided are correct and accurate. We would verify before the events.
Please expect we would WhatsApp you for a quick call.
Students would enjoy half price discount.
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Title *
Name *
Phone Number (***Please input prefix+number, i.e. +852 46709394, +65 81234567 ***) *
Email Address *
Occupation *
Company *
Birth Date *
MM
/
DD
/
YYYY
Language *
Required
Facebook/ LinkedIn Account LINK (for verification) *
Residential status *
Where do you come from *
Personal Interests (can tick more than 1) *
Required
Service Opt in (can tick more than 1) *
Required
General Availability *
Required
Requests (age range, appearance, education, etc) *
Any special points to note (Food preference/ allergy, special notes or requests)? Are you a student (if yes, please provide your information)?
I hereby confirmed the above information are genuine and correct. I also agreed not to take photo, video, audio or any form of record during the event, for everything's privacy. Payment would be done before the event, with the organizer's instruction. *
Required
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