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This page requires all information completed. Page 2 is optional information you can designate, But is not required for registration.

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Single-family-home
Apartment/Condo
Facility
RV/Mobile
Other Please Describe
Male
Female

I prefer contact companion

Call me on my
and

I prefer contact companion be

gender
and

I prefer contact companion enjoy contact with me daily during the following periods:

7am-11am
11am-2pm
2pm-6pm
6pm-10pm

I prefer contact companion

I prefer contact companion be

I prefer contact companion speak:

Alert! - Be sure to double-check your input of your full name, birthdate, and email address, as you will not be able to edit these following registration.

PAGE 2 contains optional choices for our information, to narrow your match in contact Companion. If no options listed matter to you, SKIP to page 3.