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Rated: E · Survey Form · Activity · #2073245
Fill out the form below
If you would like to be a Secret Cupid, please sign up using the form below.
Do NOT sign-up if you aren't able to do some nice things for another person.
Remember, there are many free and inexpensive things you can do. It's about the thought, not the amount.
(R) denotes a required field.
1.   Username (R)
     
2.   By checking this box, you agree that you will be available between February 2nd through February 14th. And you agree to do special things for your assigned name during this time. (R)
      Check this box to agree with the above statement.
3.   Are there any members of WDC that you prefer not to be paired with?
     

4.   This survey allows the sending of Gift Points.
      All donations will be used to support RAOK and My Premium Account

      You have 0 Gift Points.
      Gift Points to send:
      Confirm Gift Points:
      (Minimum: 100 / Maximum: 1,000,000)
Important: Gift Points included will be sent to "Invalid Item. Writing.Com will deduct a processing fee of 5%. Gift Points sent via this form are non-refundable.
*Note* Disclaimer: The information submitted will be sent to Marci Missing Everyone . Do not submit anything private or confidential.

       

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