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Love 99 - Walk of Commitment 2021 + Relationship Workshop Sign Up
Love is a marathon. Love is an intention. Love is a commitment.
10
Questions
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1
Are You Vaccinated
*
This field is required.
Participants must be fully vaccinated
on event day or show
a valid pre-event test
(PET) result
in order to attend the in-person event.
Choose Yes No for you and your partner. N/A if you are coming alone
Please Select
Yes
No
Please Select
Please Select
Yes
No
Your Self
Please Select
Yes
No
N/A I am coming alone
Please Select
Please Select
Yes
No
N/A I am coming alone
Your Partner
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2
Administrative Matters
*
This field is required.
Please enter your own information + Your Partner's Name
First Name
Last Name
Country Code
Phone Number
Please enter your email
Your Partner first name (Type N/A if not applicable)
Your Partner Last Name (Type N/A if not applicable)
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3
Would you like to Fund Raise for the highlighted charity and be a Love99 Ambassador?
Selected couples would be notified and furnished details on how to do so.
YES
NO
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4
Have you previously filled the form?
*
This field is required.
Yes takes you directly to payment.
YES
NO
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5
Name
*
This field is required.
1 contact required for now.
First Name
Last Name
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6
Your Phone Number
*
This field is required.
Country Code
Phone Number
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7
E-mail
*
This field is required.
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8
Your Partner's Name
*
This field is required.
First Name
Last Name
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9
Your T-Shirt Size
*
This field is required.
Our T-shirts are unisex
XS
S
M
L
XL
2XL
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10
Your Partner's T-Shirt Size
*
This field is required.
Our T-shirts are unisex
XS
S
M
L
XL
Other
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11
Who's the amazing person who shared with you about Love99?
First Name
Last Name
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12
Pick a movie genre to describe your love story
Adventure
Action
Comedy
Drama
Fantasy
Horror
Mystery
Romance
Thriller
Musical
Inspirational
Sports
Others
Adventure
Action
Comedy
Drama
Fantasy
Horror
Mystery
Romance
Thriller
Musical
Inspirational
Sports
Others
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13
What are the first 3 words that come to your mind to describe your relationship?
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14
Share something special / memorable about your love story
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15
Share Your Story
something special / memorable about your love story. It be helpful to type more than just a one word answer! You can also share your well wishes to the couples!
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16
Couple Shot #1
We'd love to see your smiley faces. Upload a couple shot that you and your partner loves the most. (We may use your photo for your certificate) Half body shots and full faces to visibly in love!
Drag and drop files here
Select files to upload
Max. file size
: 5.9MB
Browse Files
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of
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17
Couple Shot #2
More is more! ideally, half body shots and faces to visibly in love.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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of
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18
T-Shirt Size
Unisex
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19
Purchase Ticket - Love99 Walk of Commitment
*
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Great Product Name
$20
Quantity:
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Size:
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Great Product Name
$20
Quantity:
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Size:
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Great Product Name
$20
Quantity:
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Size:
Small
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Great Product Name
$20
Quantity:
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Size:
Small
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ORDER SUMMARY
Processing Fee
SGD
Subtotal
SGD
Total cost
SGD
Love99 Walk (Anytime Anywhere) + In Person Process Group (Optional)
2 T-Shirts + E Cert | *Please Choose T shirt size | In person Relationship Process Group in Jan 2022
$
52.00
SGD
+
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M
L
XL
XXL
XXXL
S
S
M
L
XL
XXL
XXXL
Your T-shirt Size
S
M
L
XL
XXL
XXXL
S
S
M
L
XL
XXL
XXXL
Your Partner T-shirt Size
I want to purchase a Medal of Commitment
Medal Only
$
25.00
SGD
+
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Back
1
2
1
1
2
Quantity
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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20
Process Group
Led by industry experts
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21
Would you like to attend the in person relationship process group held in January 2021?
Do consider this carefully. Please note that slots are limited and a compulsory zoom briefing prior is needed. Details would be sent
YES
NO
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22
Invoice ID
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