Beacon Bachelor Application Form

BEACON BACHELORETTES APPLY NOW

The Beacon is looking for eligible BACHELORETTES to participate in our first ever Beacon Bachelor Whakatane.

More information to follow, check back on the Eastern Bay App for updates and more information.

Entries close April 30 10pm.

Name*
First Last
Date of Birth*

Format DD/MM/YY
Occupation*
Phone*
Email*
Describe your personality in 200 words*
What are you looking for in a relationship?*
Attach Photo*
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB, Max. files: 4.
I have read and agreed to the terms and conditions*
- AGREED
Visit http://wp.easternbayapp.co.nz/terms-conditions/ For terms and conditions
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