Network For Friends

Please complete as many fields as possible and then click 'Submit Your Profile'. There is a charge of €5 Eur per profile submitted to the site and you will be prompted to make your payment after submitting your profile. Your profile will appear online after your payment has been processed.

If you prefer to download, complete and send us your profile with a cheque/postal order payment. Click here to download the form.

Fields marked ** will only be used to create your online profile and be displayed online. The remaining data collected is not disclosed to any third parties and is only used to authenticate submitted profiles.

Reference

HE6KE7

**Enter a username/nickname that you can be identified by online

First Name:

Surname:

Address 1

Address 2

Address 3

City

County

**Nationality

Phone No.

**Email

**Gender

Select Male Female

**Professional Occupation

Date of Birth

Height

cm

Weight

kgs

**Hair Colour

**Appearance

Select Average Plain Attractive Very Attractive

**Figure

Select Very Good Good Slim Slightly Overweight Overweight

**Dress

Select Trendy Fashion conscious Smart Casual Neat

**Personality (tick all that apply)

Considerate Confident
Sociable Fun
Affectionate Outgoing
Ambitious Quiet
Adventurous Dependable
Humorous Shy

**Other Characteristics worth noting

**Your interests / hobbies and Pastimes

**Describe yourself

**Star sign

Select Aries Taurus Gemini Cancer Leo Virgo Libra Scorpio Sagittarius Capricorn Aquarius Pisces Education Select Third level Second level Primary

**Smoker

Select Yes No ** Drinker Select Yes No

**Children

Tell us about the type of person you would like to meet

**Describe the type of person you would like to meet.

**Min. Age

yrs **Max. Age yrs

**Min. Height

cm's **Max. Height cm's

**Areas from which you wish to meet people (tick all that apply)

Dublin and surrounding counties
Dublin Leinster
Munster Connaught
Ulster

**Status of the people you wish to meet (tick all that apply)

Single Widow(er)
Separated Divorced

**Essential qualities of the person you wish to meet

**Desirable qualities

**Any other comments

How did you hear about us? (please be specific)

Submit a suggestion

Your photo:

It is not necessary to submit a photo but if you do it should preferably be portrait. It can be no wider than 200 pixels and be no larger than 200Kb in filesize.

I acknowledge that I have read the Rules & Terms and Conditions of The Network Club as set out and if my profile is accepted I agree to be bound by the said rules & terms and conditions.