Refer a friend to Entre Nous

Would you like to avail yourself of extra introductions? We are happy to provide you with a free introduction for every referral you give us, who is a professional single between the age of 30 and 65 years.

Should your referral join, you will receive a further three free introductions. You may leave your referrals here and please tick the box if you wish to remain anonymous.

Please note the referral's personal details are kept secure. The details are only used to assist us in finding a partner for your friend. For more information please read our Privacy Policy.

Thank you for taking the time to send this referral.

Rosalind Baker
Principal

Referral Details
Referral's Name
Referral's Phone number	(Please include area code with phone number if not mobile)
Referral's Age
They are	Male seeking Female Female seeking Male
Referral's e-mail address	(if known)
Your Name
Your Membership Number
I wish to remain anonymous	Yes No
	Please enter verification word shown to submit your form.