Millionaire Matchmaker & Dating Services

Men's Application

Membership is your key to the unapproachable, quality women of your dreams, so please read below fully prior to filling out your Application. Taking the time to insure a correct Application Form is submitted will greatly expedite things, as any incorrect submissions will not be considered.

Femme de Maison often times has a lengthy wait list, as we function on a first come, first served basis, so if you are interested in Membership we suggest that you submit your initial application soon. We ask for your patience as we do our best to accommodate the numerous inquiries we receive daily, but those who do qualify for Membership will be notified promptly.

If we feel that you are presently not a good match for Femme De Maison, you will not hear back from us, nor receive any email notification due to the large amount of applications we receive daily. We simply can not respond to each applicant we must turn away, so please, do not email us inquiring of your status! But don’t despair, as we have a Concierge page dedicated to those businesses that we feel might be a good alternative for you.

Please also note, we DO NOT accept just anyone based on income or good looks - indeed, we more often then not must turn prospective members away due to our stringent standards, which we will not waiver. However, once a member, you gain access to a collection of the worlds most beautiful women.

Click here to see our guidelines.

Contact Information

First Name:
Last Name:
Mailing address:
Street:
City:
State:
Zip Code:

Photos

Please attach two pictures below. Inclusion of these photos will help us evaluate and expedite processing of your application. They should be one facial portrait, and 1 full body shot. They need not be professional studio shots, but should accurately represent your appearance.

Picture #1 ( Head Shot )

Picture #2 ( Body Shot )

Personal Stats

Age:
Birthdate:  yyyy-mm-dd
Weight:
Hair Color:
Eye Color:
Height:
feet inches
Body Type:
Hair Length:
Where did you Grow up:
Ethnicity:

Any Tattoos, body piercings, or plastic surgery?
Yes     No

If "Yes", please describe:

Telephone / Online Info

Home:
Cell:
Fax:
Email Address:
Homepage (URL):

Experience

Current Occupation:
Employment History:
(List your last three jobs)
 
Other current or past relevant experience:

Education

Education Level:
Which schools have you attended?

Are you currently a student?     Yes     No


Family and Martial

Current Marital Status:

Do you have children?     Yes     No

If so, how many?

Health and Medical

Any past or current health or medical issues?
Yes     No
Do you have any allergies?
Yes     No
Are you a smoker?
Yes     No
Drink Alcohol?
Yes     No
Do you have any past or current drug, alcohol, or other dependancies?
Yes     No
If "Yes", please describe:
If "Yes", please describe:
If so, what are they?
Have you received treatment?
Yes     No
Are you fully recovered?
Yes     No

Relationship

Have you ever been married?
Yes     No
Are you legally separated?
Yes     No

*If yes, written proof must be signed and dated separately, and submitted along with this application. If you fail to provide this, your application will be deleted. Examples of written proof are as follows: a clear copy of a divorce petition with your signature and the date it was filed, and proof of living at a different location than your spouse - such as a current utility bill in your name, where the address is different then your spouses on your divorce petition (please black out your account number and any other sensitive information! We do not need this, as we only need to see that you are not still residing with your spouse). If you need assistance, we suggest consulting with your divorce Attorney. Please note, this club is only open to those who are SINGLE.

*Document ( Legally Separated )

Are you divorced?
Yes     No

*If yes, please provide a clear copy of your final, court approved Divorce Decree, showing your signature and date. Please consult with your divorce Attorney should you need assistance. And remember, this club is only open to those who are SINGLE and unmarried.

*Document ( Divorce Decree )

Are you living with anyone?
Yes     No
If yes, what is your relationship to them?

Personality

What hobbies or other activities are you involved in?
Do you have any special skills?
Do you speak any foreign languages? If so, which ones?
In a social setting, how would you describe yourself?

Other Information

How did you hear about Femme de Maison?
Please provide us with some details about your last long term relationship, such as: Where and how did you meet? How long did it last? When did it end? Why did it end?
A short paragraph will suffice!
Why have you come to Femme de Maison to seek out a suitable partner?
Do you have any children? Yes     No    
Please describe it (sex, age etc).
Do you want children? Yes     No     Undecided
Will you date a woman with children? Yes     No
Are your currently dating? Yes     No
How often? Are these dates casual, or serious?.

Please tell us what you are looking for in a woman? And in an ideal relationship?The more information you provide, the better equipped we are at helping to make the perfect match! List attractive traits, personality types, etc...

Do you have a specific age range in which you date? Yes     No

If yes, please list the minimum and maximum age range you are comfortable dating within. Also, please list why these are your parameters.

What is the preferred body type of your ideal mate?
Do you live in a house, condo, apartment, or other? If you own several residences, please list the number and location(s).
Religion you were born into? Religion practicing today?
Please describe your lifestyle?
Do you travel for business, pleasure, or both? How often?
Please tell us about yourself? Your interests, passions, hobbies, etc...
Do you have any ethnic, or religious preferences in a potential mate?
Do you have a minimum or maximum height requirement in a date?
Yes     No. If yes, please list.
Min Height Max Height
How do you stay fit and keep in shape?
Please list some personal favorites, such as: Favorite restaurants, favorite books, vacation spots, sports to watch/and/or play?
Do you have any pets? If yes, what kind? Yes     No
Do you have a criminal record? Yes     No
If yes, what have you been convicted of and/or arrested for?
Do you have any past or present Restraining Orders against you?
Yes     No
If yes, please provide detailed information and dates.
Are you allergic to any pets? If so, what kind?
Would you be willing to relocate for the right relationship?
Femme de Maison currently does not entertain any media inquiries as to the identity of any of our Millionaire Members, however we might consider featuring some Members in publicity materials in the future. To that end, would you consider appearing on or in any television, news, magazine, or internet interviews/appearances?     Yes       No
What is your income?
What is your net worth?

*Your answers to the above financial questions are used solely to determine your eligibility for club membership. Only Femme de Maison upper management is privy to this confidential information. At no time will we reveal your income or net worth to any club member, or persons or entities outside of Femme de Maison. Please note, in order to be considered for Club Membership, we require disclosure and verification of your purported income and net worth. This requirement is necessary in order to maintain the very high standards which Femme de Maison is known for.

What kind of boyfriend would you describe yourself as?
What are your feelings regarding sexuality, and intimacy in a committed relationship?
What do you seek romantically from a partner?
Lastly, kindly write a brief "Bio" about yourself so that we can read a short summary about who you are. This should be similar to something that you might write up for an average dating website profile, although just a stepping stone for Femme de Maison. If accepted for Membership, we will work with you to create a more comprehensive, outstanding personal Profile to be used within the Club for our Maison Girls eye's only!

Describe a brief "Bio" about yourself.

Thank you for completing our application. Femme de Maison.