Name: * Email: * Address: City: State:   Zip: Phone: Profile Birth date: Age:   Height:   Weight: Hair Color:   Eye Color: Background Status: Single Married - Once Married - Twice Married - Three or more Divorced - Less than 2 years Divorced - 2 to 9 years Divorced - 10 to 15 years Divorced - 15 to 25 years Divorced - 25 years or more Widowed - Less than 2 years Widowed - 2 years or more Separated Education Level: Occupation: Interests: Skills: Looking For:   Upload Photo:

Basic Registration

Singles who wish to become part of our database may sign up here for free.

YOU CAN ALSO MAIL US YOUR PHOTO AND THE INFO REQUESTED BELOW TO:

PERFECT MATE INC.
1539 METAIRIE ROAD
SUITE "B" ANNE TEACHWORTH
METAIRIE, LA 70005

ALL INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL. NO INFORMATION WILL BE SHARED WITH ANYONE UNLESS WE HAVE YOUR SPECIFIC PERMISSION. PHOTOS ARE FOR OUR PRIVATE RECORDS ONLY.

Anne Teachworth or J.B. Anderson will personally return your call and be happy to schedule an appointment with you at your earliest convenience either at our office in Metairie, your home, office or a coffee shop of your choice, if you prefer.

You may fill in your first name only on the Basic Registration Form without giving us your last name if you choose. Please be assured that we will keep your identity confidential. At no point before, during or after the sign up, assessment, screening, makeover, introduction, or matchmaking process will your name or any information about you ever be released to anyone without your permission. We will work with you at your convenience, ease, direction and comfort level. All ages may apply.

WE INVITE YOU TO LET US FIND THE PERFECT MATE FOR YOU. YOU’LL BE GLAD YOU DID.

SINGLES SIGNING UP HERE ARE ENCOURAGED TO SEND IN CURRENT PHOTOS

HOWEVER, BE ASSURED THAT NO PHOTOS SENT TO US WILL EVER APPEAR ONLINE. THEY WILL BE KEPT IN OUR OFFICE AND ONLY VIEWED BY OUR CHARTER MEMBERS.