Matchmaker Order Form

1) Fill in your school information...
School name:
Street address:
	Don't know your school's address? Look it up here.
City:
Province:
Postal code:
	Don't know your school's postal code? Look it up here.
Your organization:
	name if 'Other':
Student rep.'s name:
Student rep.'s E-mail address:
Advisor's name:
Advisor's E-mail address:
Ordered by:
	name if 'Other':
Ship attention to:
	name if 'Other':
Telephone area code:
School phone #:
	enter your cell/home phone # like this: 123-4567 (if your area code is different than your school's include it like this: *321-123-4567)*
extension:
	enter an extension only if your have your own direct line or extension #
Cell/Home phone #:
	enter your cell/home phone # like this: 123-4567 (if your area code is different than your school's include it like this: *321-123-4567)*
School FAX #:
	enter your school FAX # like this: 123-4567
# of answer forms needed:
	order 1 for each person in your school
Date answer forms needed by:
	enter the date like this: MM/DD/YYYY or leave blank for ASAP
Date results needed by:
	enter the date like this: MM/DD/YYYY or leave blank for ASAP

2) Select your options...

Type of service:

with Birthday Trivia:

Type of questionnaire:

Type of delivery:

Sort printouts by:

specify if 'Other':

Matching procedure:

specify if 'Custom':

Print most opposite matches:

Print most compatible friends:

Any Additional Printouts?
- Make more money by selling more printouts...

Grade Match printouts:

Friendship printouts:

Any Special Instructions?

Special Requests:

Do you want a FREE custom Message to appear on each printout?

FREE Custom Message:
(maximum 80 characters)

3) Press the "Send Order" button...

Thank You!

Instructions:

Important Notes: