Step 1 of 2: Registration

Register now - it's free and only takes 30 seconds to complete.

Registering allows you to book your place at one of our upcoming speed dating or dining events and/or be added to our database to receive invitations to future events.

We promise not to share your information with anyone else.

Fields marked * are compulsory:

Click here if you have already registered your details with Quick Connections and would like to proceed directly to the payment page.

First Name*:

Surname*:
Email Address*:
Mobile*:
Other Contact Number:
Suburb*:
Gender*:
Date of birth*:
Postcode*:
Profession:
Current marital status:
Do you have children? Yes No
If yes, how many school-aged kids do you have?
Would you prefer to attend events:

Preferred nights to attend events

Mon Tues Wed Thu

Fri Sat Sun

Tick as many as you like

What social activities do you like to do on the weekend (hobbies/interests)?
What types of activities are you most likely to attend (hold down ctrl to select multiple):

If other, specify:

Promotional Code

I would like to:  register and pay for the next event
 receive details about upcoming events and special offers
How did you first find out about Quick Connections?*
If word of mouth, please specify the person's name so we can thank them.?*

If other, specify:

Which social networking sites are you on? (hold down ctrl to select multiple)

If other, specify:

Preferred location:

Illawarra (Wollongong)

Sutherland Shire (Cronulla/ Gymea/ Miranda)

Other

 

 

Bringing Friends?

Please fill in the form below if you'd like to register your friends. If you plan to come on your own, just leave this section blank and click 'Submit' down the bottom of the page.  

Learn about our Referral Program here.

 

Would you like to bring any friends?

  

  Male Friend(s)  

  Female Friend(s)

  

  

  

  

  

Male Friends

  

  

Female Friends

  

Friend 1

  

  

Friend 1

  

First Name*:

  

First Name*:

Mobile*:

  

Mobile*:

Email*:

  

Email*:

Age*:

  

Age*:

  

  

  

  

  

Friend 2

  

  

Friend 2

  

First Name*:

  

First Name*:

Mobile*:

  

Mobile*:

Email*:

  

Email*:

Age*:

  

Age*:

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