Membership Application
Julianna and Friends  - Social Events Club for Discerning Singles

Please answer all of the questions *** All information you provide will be treated confidentially.
Title
*** First Name  
  *** Surname  
 
Address:    


Suburb:  

Postcode  

*** Phone:       Mobile:  
   

*** Email: 
Occupation: 
Date of Birth:
      
 

Your favourite social activities   :

Restaurant Dining Cocktail Parties Walking

Tennis Opera Concerts Theatre

Dancing Adventure Other

Preferred cuisine: Food allergies:

Your height: Your weight: Do you smoke yes/no?

 


  Make a new start today !  


Membership Options -
I would like to join for:

12 months $250   6 months $199   12 months RENEWAL $150  


Payable at the strategy meeting with Julianna.

As my reward for joining, I choose:

Free entry to a Mix & Mingle Event;   or
Free entry to a Tennis Event;   or
Free entry to a Bushwalk.  



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THANK YOU for chosing Julianna and Friends. When your Application is received, Julianna will contact you to arrange a meeting to start your membership and complete a Questionnaire with you to help identify members in your "Top Ten". People who are most like-minded with you based on your lifestyle, interests, personality and attitudes.


If you have not been contacted within 48 hours,
please telephone Julianna on (02) 9960 5115.






 

 

 



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Julianna & Friends
Julianna's Perfect Match Events for Single Professionals
PO Box 485,
Neutral Bay 2089 NSW Australia

Telephone: (02) 9960-5115 ... Mobile: 0411-05-9960


Copyright © 1996 to 2010 - - - Julianna Robertson and Friends
The entire website content is subject to Copyright and All Rights Are Reserved.

Web: http://www.juliannaandfriends.com.au/



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