APPLICATION FORM

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To join please print off and complete the form below and post with a cheque (or cash or postal order) for £30 (or £39 if an email address is not available) payable to CATHOLIC SINGLES to:

CATHOLIC SINGLES, 1 BURLESCOMBE CLOSE, ALTRINCHAM. WA14 4UX.

If you are unable to print this off please email or telephone using one of the contacts on our home page and a form & further information will be sent to you.

APPLICATION FOR MEMBERSHIP OF CATHOLIC SINGLES.

* £10 of your payment will be sent to your chosen parish or charity.

* Members will be sent twelve monthly issues of Catholic Networking, including their personal entries if they wish.

PERSONAL INFORMATION TO BE INCLUDED IN YOUR ENTRY:

* These sections are optional. # Please circle as appropriate.

Christian(or preferred)Name...................... # Male/Female

Age............ Region (i.e. county or diocese) .....................................

*#Height   Tall  Medium   Below average

 *#Build   Slim  Medium  Above average

#Status  Single  Widowed  Separated  Divorced  Marriage Annulled

Number of Children & *Ages ...............................#Own Car Yes / No

# Smoker / Non-Smoker       Occupation .............................................

Likes & Interests(max. ten words) ......................................................

...................................................................................................................................................................

*Dislikes (max. ten words)....................................................................

....................................................................................................................................................................

I confirm that the information above is accurate, and I am over 18 years of age & a practising Catholic.

Signed........................................................ Date....................................

PERSONAL INFORMATION NOT  IN YOUR ENTRY:

Full Name .................................Address .............................................

....................................................................... Postcode ..........................

Tel.(optional) ............................. email address(optional)......................

Please # include / do not include my email address in my entry

Nominated Charity or Parish incl.address (or leave blank)

....................................................................................................................

*#Please indicate how you found out about Catholic Singles:

Parish Newsletter    Church Noticeboard   The Universe

 Catholic Times   Catholic Herald   Friend

Other (Please State) .............................................