Dating Form | Singleinthecity.ca

Contact Information

First Name*

Last Name*

Phone Number*

Your Contact Email*

Plan Selection*

Order Summary

Price: $113.00

30 minute Phone: $100.00
HST: $13

Order Summary

Price: $169.50

60 minute Phone: $150.00
HST: $19.50

Order Summary

Price: $226.00

60 minute Skype: $200
HST: $26

Order Summary

Price: $282.50

60 minute in Person: $250.00
HST: $32.50

Order Summary

Price: $169.50

Online Dating Profile Writing $150
HST: $19.50

Grand Total

$0.00

Currency

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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