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How did you hear about Couplets.com?:	Select One Advertisement Bulletin Board Email Flyer Internet Newspaper/Magazine Online message board Referral from a friend Search Engine Television Word of mouth
Primary Reason for Joining:	Select One Meet local couples Meet couples to dine out with Meet couples for traveling/cruising Meet couples with other similar interests Can always use more couple friends

Partner 1			Partner 2
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* We are:	Select One Married Engaged Dating Domestic Partners
* For how long?:	Select One Less than 1 year 1 - 5 years 6 - 10 years 11 - 25 years 26 - 50 years More than 50

Number of Children:	0 1 2 3 4+
Children living at home:	0 1 2 3 4+

How we met or humorous story about our courtship (in 400 words or less):
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* Activities We Enjoy Together (check all that apply):

Arts (ballet, exhibits, music, theatre, etc.) Autos/Motorcycling Aviation Beach/Parks (sun, surf, sand) Biking Boating (sailing, kayaking, etc.) Bowling Camping Cinema/Movies Cocktail Parties Conversation Cooking/Baking Dancing Day Trips Dining/Restaurants Extreme Sports Fishing (sport, fly fishing, etc.) Fitness & Health (gym, diet, etc.) Games (cards, board games, etc.) Golf Hiking Home & Gardening Hunting Nature Pets Philanthropy/Volunteering Photography Picnics Religion Shopping (antiquing, collectibles, etc.) Shopping (mall, etc.) Skiing (snowboarding, etc.) Spiritualism/Metaphysics Sporting Events (college, NFL, MLB, etc.) Sports/Athletics Tennis Travel (cruises) Travel (domestic) Travel (international) Walking Water Sports (water skiing, jet skiing, etc.) Wine (tasting) Wine (parties)

We are looking to enjoy activities:

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