Your name:

Date of birth:

You are: Female Male

Partner preference: Female Male Either Neither

I acknowledge that the information I submit from this form could theoretically be used for good or evil, but in reality, not even my name and date of birth are transmitted through the Intertubes. Those bits of information are converted to a unique number that cannot be converted back into the original information. The resulting number, along with what I have reported as my sex and partner preference are all that are transmitted. If I want my SSN, credit card numbers, bank information, etc. exposed to evildoers, I will have to find a more fiendish site. I understand that submitting incomplete or inaccurate information will drastically alter the totally fictitous result.