AVConnexions, LLC - Submit Form

wwrn Match Requests

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To assist you in finding a suitable match for your client, we kindly request that you include all relevant information in your initial request. This will help us avoid unnecessary back-and-forth communication. You will receive a confirmation once we receive your request, and we will promptly inform you if we have a potential match.

Today's Date

Are you a member of the Worldwide Referral Network?

Email*

Matchmaker's Full Name

Company Website

How much are you offering for this referral? (USD)*

Any other incentives?

Client's Information

Please ensure you include any missing information in the following fields if it's not already present in your client's profile.

Link to your client's profile

Upload Your Client's Profile

Client Gender

Client Ethnicity

Client's Religion

Client's Date of Birth

Client Height

Client Weight

Client's City

Client's State/Province

Client's Country

LIFESTYLE

Client Education Level

Client's job title

Client political affiliation

Centrist

Conservative

Liberal

Client has kids

Yes

No

Client's # of kids & how old

Client wants kids

Yes

No

Client open to long distance?

Yes

No

Only certain locations

Client willing to relocate?

Yes

No

Client description

MATCH CRITERIA

Match location

Match gender? (select all that apply)*

Match Ethnicity

Match Religion (list all that apply)

Match hair length (select all that apply)

Match hair color (select all that apply)

Match age range

Match height range

Match body type (select all that apply)

Match description

Additional Comments?

Are there any additional details or comments we should know?