The first step in finding your perfect match is sharing information about yourself and your expectations.

Please fill out the information below (or call us at 412-521-3747) and we will send you a confidential profile form to complete. Once we receive your form we will schedule a private consultation. Having you complete the profile really helps us be better prepared for our initial discussion.

First Name:
Last Name:
Birthdate:
Birth Place:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Business Phone:
Fax:
Personal Email:
Business Email:
Please email me a PDF file of the confidential      profile to complete and return via mail,      or fax to 412-521-4542.
Please mail me a confidential profile to      complete and return via mail,      or fax to 412-521-4542.
How did you hear about The Modern Matchmaker?
Comments:

Our service is completely confidential. We never sell, rent or share our member information with any other organization. And we never share member information with another member unless we have your permission.

"Susan helped us find our soul mates."

Pearl 79 and Elliot 80
Retirees