Submit Someone
Submit a guy you think is a match for me and if we make it to a first date I'll send you $150!
YOUR Name
*
First Name
Last Name
YOUR Email (this is where I'll send the gift card to):
*
example@example.com
How do you want to be paid if we go on a first date?
*
$150 Amazon giftcard
$150 virtual VISA giftcard
I don't need any pay because I'm submitting myself
HIS Name
*
First Name
Last Name
HIS Email
*
example@example.com
HIS Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
HIS Age
*
HIS City & State
*
HIS Facebook and/or Insta Link/s
*
Have you told him about me & has he given you permission to submit him?
*
Yes
No
HIS Photo/s
*
Upload a File
Drag and drop files here
Choose a file
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Why do you think he'd be a great match for me?
*
Submit
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