perfectdates newsletter registration form

On submission of this form you will be sent a monthly Perfectdates newsletter keeping you up to date with the latest flirting, dating and relationship tips, events ,discounts and special promotions.

And please fill in your own details below.

First Name

Last Name

Address

Suburb

Postcode

Phone Number

Mobile Number

Email Address

Occupation

Sex

Date of Birth

Marital Status

   

On submission of this form you will be sent a monthly Perfectdates newsletter keeping you up to date with the latest flirting, dating and relationship tips, events ,discounts and special promotions.

     

contact details

address:

22 Pender Street
Thornbury Vic 3071

tel:

03 9863 7633

fax:

03 9443 7576

mob:

0402 517 516

email:

enquiries@perfectdates.com.au

website:

www.perfectdates.com.au

 

ABN: 88 214 814 439