* Username
* Password*confidential*
* Re-enter
password
* Email
address*confidential*
* Re-enter
email address
* Age
* I am a
--Please choose--
Woman
Man
Couple
* Looking for
--Please choose--
Women
Men
Couples
No
preference
* Millionaire
No
Yes,
$150k+ per year
Yes,
$200k+ per year
Yes,
$500k+ per year
Yes,
$1,000k+ per year
Yes,
$5M+ per year
Yes,
$10M+ per year
Yes,
$50M+ per year
Yes,
$100M+ per year
Yes,
but prefer not to disclose
* Ethnicity
--Please choose--
Asian
Black/African
Descent
Caucasian/White
Hispanic/Latino
Arabic/Middle
Eastern
Mixed
Race
Native
American
Pacific
Islander
South
Asian
East
Indian
Other
* Height
--Please
choose--
4'
5" (135 cm) or below
4'
6" (137 cm)
4'
7" (140 cm)
4'
8" (142 cm)
4'
9" (145 cm)
4'
10" (147 cm)
4'
11" (150 cm)
5'
0" (152 cm)
5'
1" (155 cm)
5'
2" (157 cm)
5'
3" (160 cm)
5'
4" (163 cm)
5'
5" (165 cm)
5'
6" (168 cm)
5'
7" (170 cm)
5'
8" (173 cm)
5'
9" (175 cm)
5'
10" (178 cm)
5'
11" (180 cm)
6'
0" (183 cm)
6'
1" (185 cm)
6'
2" (188 cm)
6'
3" (190 cm)
6'
4" (193 cm)
6'
5" (196 cm)
6'
6" (198 cm)
6'
7" (201 cm)
6'
8" (203 cm)
6'
9" (206 cm)
6'
10" (208 cm)
6'
11" (211 cm)
7'
0" (213 cm)
7'
1" (216 cm)
7'
2" (218 cm)
7'
3" (221 cm)
7'
4" (224 cm)
7'
5" (226 cm)
7'
6" (229 cm)
7'
7" (231 cm)
7'
8" (234 cm)
7'
9" (236 cm)
7'
10" (239 cm)
7'
11" (241 cm)
8'
0" (244 cm)
8'
1" (246 cm) or above
* Country/Area
United States
Canada
United
Kingdom
--------------------
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua
& Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
and Herzegovina
Botswana
Brazil
British
Indian Ocean Territory
Brunei
Darussalam
Bulgaria
Burkina
Faso
Burundi
Cambodia
Cameroon
Canada
Cape
Verde
Cayman
Islands
Central
African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook
Islands
Costa
Rica
Cote
d'Ivoire
Croatia
Cuba
Cyprus
Czech
Republic
Denmark
Djibouti
Dominica
Dominican
Republic
Ecuador
Egypt
El
Salvador
Equatorial
Guinea
Eritrea
Estonia
Ethiopia
Falkland
Islands
Faroe
Islands
Federated
States of Micronesia
Fiji
Finland
France
French
Guiana
French
Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong
Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea,
North
Korea,
South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall
Islands
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands
Antilles
New
Caledonia
New
Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk
Island
Northern
Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua
New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto
Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint
Vincent & the Grenadines
Samoa
San
Marino
Sao
Tome and Principe
Saudi
Arabia
Senegal
Serbia
and Montenegro (former Yugoslavia)
Seychelles
Sierra
Leone
Singapore
Slovakia
Slovenia
Solomon
Islands
Somalia
South
Africa
South
Georgia
Spain
Sri
Lanka
St.
Kitts and Nevis
St.
Lucia
St.
Pierre and Miquelon
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
& Tobago
Tunisia
Turkey
Turkmenistan
Turks
and Caicos Islands
Tuvalu
Uganda
Ukraine
United
Arab Emirates
United
Kingdom
United
States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin
Islands (U.K.)
Virgin
Islands (U.S.)
Wallis
and Futuna Islands
Yemen
Zaire
Zambia
Zimbabwe
* Postal / Zip code(no spaces)
