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Millionaire Match Application Form

Please email us between 2 and 8 recent photos of yourself as (suggested) below:

Personality & Background

Commitment to Participation

By submitting this application form, I agree to the following:

  • I am at least 18 years of age.
  • I am a legal resident of the United States.
  • I am single and not currently in a committed relationship.
  • I am willing to commit to being single for 12 months if selected for the show.
  • I am available to participate in filming for three separate sessions throughout the year.
  • I am willing to live in a luxury mansion with other contestants for two months.
  • I am willing to date and share my experiences with a wealthy, successful man.
  • I understand that I may be exposed to media scrutiny and public attention.
  • I agree to release my likeness, voice, and other personal information for use in connection with the show.