Member Application - For Women Only  

Step 1 of 2


Personal Information

  1. In order to be contacted by Janis or Carly, please provide the best contact number to reach you on or you might miss a phone call from us telling you that we have your husband.

  2. ft in /  lbs
  3.  (mm/dd/yyyy)
Misc Information
  1. *I certify I am at least 18 years old and acknowledge that all information is actual to the best of my knowledge.

Important Notes/Instructions:

You will be required to pre-process a one-time registration fee of $25.00. You will only be charged if you are accepted.

All fields are mandatory and must be completed.