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Send Us Your Video!
 
 
Registration Form!


STEP 1: Fill out your  personal contact information.
 

STEP 2: Send us your picture.


Now you're ready to get started!


Personal Contact Information:
Note: As per our privacy policy, SammamishSingles.com will never share your personal information with another party. We will only post the "First Name" (or alias), "Description", and "Picture" you provide us for publication on SammamishSingles.com.

First Name:      

Last Name:   
(This information will not be posted for others to see.)    
 

 

Date of Birth:   
(This information will not be posted.)  
IMPORTANT: All singles located on SammamishSingles.com must verify that they are at least 18 years of age.            

Email:   
(This information will not be posted.)              

Phone:  
(This information will not be posted.)              

 

Occupation:  

City of Residence:  


Describe Yourself:

 

How would you like other singles to contact you?  
Please choose only one of the following options:

Please provide a "sammamishsingles.com email address.
   
 This information will be posted on Sammamishsingles.com.

      

Please use my own email, which is entered in the box below.
    
This information will be posted on Sammamishsingles.com.

      
 

Your Web Site Address:  (OPTIONAL)      
    

IMPORTANT:
Click this check box if you agree that by sending your information to S
ammamishSingles.com, SammamishSingles.com has the right to publish your information on SammamishSingles.com. Any interaction you have with other registered members will be by your own choice. SammamishSingles.com, or it parent Dogleg Productions LLC, cannot be held liable for any and all interactions you may have on this web site.

 

 

 


 

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