New Member Registration

Thank you for becoming a member of Desert Introductions. In order to complete your registration and profile, we’ll need a little information from you. Simply fill out the form below. Once youve done this, a confirmation e-mail will be sent to the address you provided. You will find your login information in this e-mail for future reference. Once you've completed the registration process, you will be contacted soon by one of our Introduction Specialists. All fields marked with an asterisk (*) are required.

Basic Member Information
Desired Package*	ChooseDesert Introductions Package -- $99.00The Meet Package -- $295.00The Mix Package -- $495.00The Mingle Package -- $795.00   (More Info)
User Name*
First Name*		Last Name*
Password*		Confirm Password*
Security Code*
Contact Information
Address*		City*
State*	ChooseAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming	Zip Code*
E-Mail*		Phone Number*
About You
Age*		Relationship Status*	ChooseSingleCouple
Education*	ChooseHigh schoolSome collegeAssociates degreeBachelors degreeGraduate degreePhD / Post Doctoral	Income*	ChooseLess Than $25,000$25,001 to $35,000$35,001 to $50,000$50,001 to $75,000$75,001 to $100,000$100,001 to $150,000$150,001+
About Me*
Interests		Recreational Activities
(Choose at least three items in each column)
Alumni Connections Book Club/Discussion Camping Coffee and Conversation Business Networking Cooking Dining Out Fishing/Hunting Gardening/Landscaping Hobbies and Crafts Movies/Videos Museums and Art Music and Concerts New to the Area Nightclubs/Dancing PerformingArts Playing Cards Playing Sports Political Interests Religion/Spiritual Shopping/Antiques TravelSightseeing Video Games Volunteering Watching Sports Wine Tasting		Aerobics Baseball Billiards/Pool AutoRacing/Motorcross Basketball Bowling Cycling Football Golf Dancing Inline Skating Martial Arts Running Skiing Soccer Swimming Tennis/Racquet Sports Walking/Hiking Weights/Machines Yoga Other Exercise Hockey Volleyball

 Desert Introductions. Be Introduced.