Romance Over 40

First Name*

Last Name*

Age*

Gender*

Relationship Goal*

Occupation*

Income*

Address*

City*

State*

Email*

Zip Code*

Day Phone*

Evening Phone

Best Time to Call*

Ethnicity*

Marital Status*

*Required

Yes, I want to receive information and offers from
romanceover40.com.

	All your information is kept 100% secure and confidential and will not be seen by any potential matches.

	Welcome to Romance Over 40
	Romance Over 40 is a safer way to meet quality singles. Unlike online dating, we take a dedicated, personal approach to helping you find that someone special. Our members are not casual daters. They are serious singles, who are truly looking for a meaningful relationship.		We take the guesswork out of dating. We meet & screen every new member in person, verifying that they really are who they say they are. What that means for you is less work, and no more surprises.