Join the Stellar Network

We'd love to get to know you so we can consider you for one of our eligible clients.

It's FREE to join the Stellar Network! Simply fill out the form below and send it to us (photo is optional). We will contact you shortly thereafter.

HOW IT WORKS: Once you’ve submitted your confidential information to become a Stellar Network Member, you will be contacted by us. We'll meet with you in person to find out more about you and presumably introduce you to our client. If we do not contact you right away, we will keep your file in our confidential database and get in touch with you if / when we have a client who’s an appropriate match for you.

About You...

First Name

Last Name

City

State

Preferred Phone

Okay to leave message?

Yes
No

Email Address

Date of Birth

Age

Relationship Status

Height

Weight

Hair Color

Eye Color

Education Level

School

Religion

Number of Children

Ages

What is the custody arrangement?

Occupation

Do you smoke?

Yes
No

Do you drink?

How would you describe yourself and what you bring to a relationship?

Your Dating Experience...

Have you ever used an online dating service and/or matchmaker?

How is that working out for you/how did that work for you?

What are your relationship goals?

Your Ideal Stellar Match...

Qualities you are looking for in your Stellar Match

Age Range

Has Children?

Yes
No

Interested in (check all that apply)

Long-Term Relationship
Marriage
Children

Religion

Distance you're willing to travel

Comments

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