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    Please fill out the form below to start the process. After you fill it out, you will be directed to book a Consultation Call which enables us to set time aside and get to know you and your needs. After the consultation, we will be able to put together different membership options for you. Looking forward to helping you with all your relationship and dating needs! This intake form is FREE of charge and for information purposes.By filling out this form, you agree to abide by the set rules as described in Terms & Conditions, including but not limited to those listed in Terms & Conditions.You understand that all memberships are non-refundable. Should you decide to do a charge back and ask for a refund from your credit card company, we will be invoicing you for the full amount and for the fees incurred during the transaction. Please understand how tedious this process is and how much time it requires: consultation, interviewing you and your potential matches, screening, meetings, getting to know you and your desires not to mention time involved in putting together each profile. We take matchmaking and coaching very seriously, as well as every individual's desires and needs. 
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    Membership Information
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  • Describe your ideal PARTNER in detail. What are you looking for in a PARTNER: (if you're interested in coaching only, type N/A in all fields or set up a Consultation instead of filling out this form)

    this part is very important
  • I hereby affirm and declare that the information provided above is accurate and truthful. By proceeding with this submission, I confirm that I am single and open to being matched with a potential partner, with the understanding and willingness to pursue a relationship if mutually agreed upon. I commit to adhering to the guidelines established by Busola Akins LLC, as detailed in the Terms and Conditions.Furthermore, I pledge to responsibly handle all personal profiles shared with me by Busola Akins LLC, treating them with the utmost confidentiality. I will not divulge this information to others, nor will I independently contact any individuals from these profiles on social media or through any other means. I recognize and accept that all membership fees are non-refundable. In opting for a database membership, I understand that there are no assured timelines or set number of matches.Additionally, by agreeing to this contract, I promise not to disclose any private correspondence online or engage in posting negative reviews about Busola Akins LLC on platforms like Yelp, Google, or any other social media or websites. I acknowledge that memberships are non-refundable and non-transferable. Busola Akins LLC reserves the right to terminate my membership at any given time and for any reason, emphasizing that any form of misconduct will result in immediate cancellation.
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