MEMBERSHIP APPLICATION FORM

Please complete the form below.  This form will provide us with a bit more information about you and the qualities and requirements that you are searching for in your prospective partner.

Don't worry, we will never share your contact details including your name, e-mail address and phone number without your consent.

Some of the information will be selected and used to create your profile, which will be proofed by you, before we send it out to potential matches.

Kismet Introductions Limited

31 Dashwood Avenue, High Wycombe, England, HP12 3DZ

Company Number 10660147 | Registered in England and Wales 

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info@kismetintroductions.com

Tel : 07391 466637