Our Services Events Form Our Services Events Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Telephone Number *Website / URL/Social Media *Do you have a business site or social media handles?Which membership you are eligible for?Professional LevelElite LevelSpecial ApplicationIncome Eligibility Tiers: Special Application Does not meet income criteria Professional Tier: $90K - $174K Elite Tier: $175K - $500K 💎 Super Elite Tier: $500K+ Do you have a vouchable, high-caliber single male you can invite? *YesNo (Unfortunately, having an eligible male referral is required to participate in our matchmaking events.If you do not currently have an eligible male referral, you are still welcome to explore our private matchmaking services. We work closely with clients on a personalized basis, independent of event participation. We value our clients, and in appreciation for adding to our network of high-caliber singles, participants who refer a vouchable, eligible single man will receive 50% off our Concierge Membership. We'll personally interview him, and there is no cost to himDo you currently have an active annual database Membership? *YesNoIf you're a current member, bypass the payment step after submitting your application.I understand I must join the concierge database membership to participate in events *YesNo (please come back when you're ready to join)Note: After submitting your application, you'll be redirected to complete your discounted Concierge Membership to finalize your screening. Photo * Drag & Drop Files, Choose Files to Upload When would you like to schedule your screening? Please note your screening must be confirmed with our office. *DateTimeAppointments are limited and held on Thursdays between 10 AM – 3 PM CST via Zoom. Please select a preferred slot — this helps us begin curating your experience. Confirmation details provided upon completion of this application. Submit
