Internet Registration
(Personal Internal Messaging System -P.I.M.S.)

Registration Details For a FREE Profile Listing only -Simply complete the Form and tick plan options -No Payment is involved for registering your profile. This form will be used to register your profile on the perfect-partner.com website for you to "SEND" & "RECEIVE" electronic messages by email, as well as e-matching by alerting you of potential electronic matches with pre-defined criteria once you become a Paid subscriber to this service.
Membership Level:*	3 Months Registration (£20) 6 Months Registration (£35) One Year Registration (£50)
Title:*
First Name:*
Last Name:*
Address:*
Post (or Zip) Code:*
City/Town*
State/County:
Country:*
Telephone:	*Home: + + Work : + +
Email:*
How did you hear about us?*
Do you have British Passport?	Yes No