ClubEY : for Singapore Christian Singles by Equally Yoked

Please complete and submit the application found below to become a member. You membership will be activated after we verify your information. This will be done within 48 hours. We will contact you as part of the verification process. You can have the piece of mind that every member has been verified, just like you!

Welcome to Equally Yoked and God Bless!

Personal Contact Information

Your Name

First

Middle

Last

Address

Country

Singapore

Zip

Cell Phone

Select Your Password

Your Username will consist of your first name and an assigned four digit member number. It will be provided to you after submitting this form.

Password

Verify Password

Payment Details

The intial fee for your setup is US$17.00 (equivalent of S$25.00), including your setup and phone interview. Membership is $17.00 per month, for a minimum of 6 months.

Name on Card:

Credit Card:

Credit Card Number:

CVV/CID Number: What is this?

Expiration:

Terms & Conditions

Are You? Single Widowed Divorced

I state that I have never been convicted of a criminal offense. I understand that Equally Yoked/ClubEY reserves the right to refuse anyone membership for any reason. I understand that my picture and profile will be on a private intranet system and give my permission for that information to be posted on the member site.
I have read and agree to terms of service. Yes No

Birthdate / /