VIVID Relationships: Matchmaking Client Application

Thank you for your interest in working with our Team of Relationship Experts towards our shared goal of helping you to find lasting, meaningful love. Take your time and thoughtfully consider your responses in order to best assist us in our mission. All questions are required. Please submit your application and $40 application fee to be considered for our services. Application fee is non-refundable. Please allow up to 15 business days for a response (usually sooner). Applications are processed in the order received. Please email [email protected] with any questions or concerns.

Step 1 of 7

Date

Your Personal Information

Your Name(Required)

First Last

Your Preferred Name(Required)

First

Age(Required)

Birthdate(Required)

City you live in(Required)

Your Contact Information

Your Email Address(Required)

Enter Email Confirm Email

Your Phone(Required)

Preferred Contact Method(Required)

Please make sure to check your SPAM folder for emails from [email protected]. Our team will call from area code 713.

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Social Media Handles

Is there anything else you'd like to add?

If you are accepted as a client, you will have the opportunity to go into more depth about these answers and any other relevant information.

2 Character References (Include Names, Phones, Emails)(Required)

Are you open to the idea of having your experience with us documented?(Required)

Application Fee

Required

Price:

Total

Payment Method

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Your Personal Information

Your Contact Information

Tell Us About Yourself

RELATIONSHIP INFO

Why Matchmaking with VIVID Relationships?

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