T2P Registration Form
Please fill out this form and click submit.
Name
*
Phone
*
Cell Phone (that can receive texts)
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Please indicate your age group:
*
Please select one option.
Young adult women(20s-30s)
Middle-aged women (40s-50s)
Mature women (60s+)
In an effort to effectively partner women together, the following input will help guide the process...
What are some of your hobbies/interests?
*
Please share your employment/career field (in home/out of home) with us.
*
If you had a day to spend however you choose, what would you do?
*
What do you enjoy most? Please rank the following according to your preference by entering 1-4 (1 being least) in the line provided:
Quiet coffee shop conversation
*
Lively Restaurant
*
Dessert/Coffee/Tea in someone's home
*
Outings with a purpose (shopping, working out, hiking)
*
Using a scale of 1-4 (1 being least), please rank the following in terms of when is a good time for you to meet with your T2P group.
Weekday daytime
*
Weekday evenings
*
Weekend daytime
*
Weekend evenings
*
Submit
Description
Please fill out this form and click submit.
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