The Harlem Matchmaker Registration Form

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My First Name

My Last Name *

(Your last name will NOT be visible to matches unless you give explicit permission)

My Age *

My Gender
*

I'm a Male

I'm a Female

Other:

My future partner's Gender *

I want to date Males

I want to date Females

Other:

My e-mail
*

(Your e-mail will NOT be visible to matches unless you give explicit permission)

My phone number *

(Your phone number will NOT be visible to matches unless you give explicit permission)

My ZIP code *

About Me
*

Tell us a little bit about yourself (write as much or as little as you want)

What are you seeking?
*

Tell us a little bit about the type of partner and relationship you are looking for (write as much or as little as you want)

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