Telephone Consultation

This form can be used for two unique purposes:

1.) If you would like to take the time to spend a few moments with one of our counselors to learn more about our service, please fill in the following form and select the "More Information" option. A counselor will contact you at the time of your choice.

2.) To arrange your Platinum Self-Evaluation, please choose a time when you will be available for 30 to 60 minutes. Please fill in the following form and select the "Self-Evaluation" option. Your personal counsellor will then contact you at that time for your Evaluation.

First Name:   *required
Last Name:   *required
Age:   *required
City:   *required
State/Province:   *required
Country:   *required
Phone:   *required
Best Time to Call:   *required
Occupation:   *required
Income: 
E-mail Address:   *required
 



"More people may be finding their mates online these days, but most remain skeptical about technology-assisted romance."

Online Dating Magazine
February 7, 2005

Platinum's unique counselor-client relationship ensures that a human is providing your introductions, not a computer!


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