Name	*
Address	*
City	*
Zip	*
State	*	- Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Email	*
Phone	*
Work Phone
Cell Phone/Pager

Tell us about yourself
Sex	*	Female Male
Age	*	must be over 25
Typical workweek		9 to 5 Late Hours Afternoon Evening Not Working Own Hours
What is your marital status?	*	Single Widowed Divorced Legally Seperated
My attitude toward marriage is		Would like to get married Undecided Not Interested Never
My current dating situation		Dating Various People Dating someone with different goals Not dating anyone of sig. importance
Relationship goals		Meeting various people Marriage Commitment to one person Finding a dance partner
Your feelings about children		Have kids Would like to have kids Might like to have kids Dont want kids

What is your Occupation and Education?
My furthest level of education	*	High School College Degree Masters Degree Ph.D. Some College M.D. J.D.
My occupation	*
List qualities you look for in a compatible mate
What age range are you looking for?		25-30 30-40 40-50 50-60 60 Plus Don't Care
Required Fields* w w w . b i g h o o k u p . n e t
Thank you for telling us about yourself!! You'll be contacted in a few days by your Personal Matchmaker who will help you start supercharging your social life this weekend!!
www.thunderbirdsingles.com