Aura Commerce and Technology Centre

Speed dating

Speed Dating

Speed dating for 30 – 50 year olds 6^th August 2011 7pm – 10pm . £9.50 per ticket.

Name*

DateofBirth*12345678910111213141516171819202122232425262728293031 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990

Email Address

Contact telephone number

Preferred Age

 30-39

 40-49

 50+

 Please check all that apply.