Most Romantic Man in Dallas Entry Form

"Most Romantic Man in Dallas"
Entry Form

Please answer each question.

*Your Name
*E-Mail Address
*Daytime Phone #
*Your Most Romantic Man's Name

*1) How old is your MRM
(Most Romantic Man)?

*2) What profession is your MRM in?
(i.e. construction worker, doctor, entrepreneur, accountant etc.

*3) On which of these days does your MRM give you gifts?

	Valentine's Day
	Your Birthday
	Your Wedding Anniversary
	Sweetest Day
	None of the above

*4) How often do just the two of you go out to dinner?

	once a week
	once a month
	once a quarter
	once a year

*5) What is the best gift/surprise your MRM has ever given you?

*6) Describe what would be your most romantic evening.
(in 100 words or less)

*6a) Has your romantic man
fulfilled this evening for you?

Yes
No

*7) In 100 words or less, tell us why your man deserves to be selected as the "Most Romantic Man in Dallas."

*8) If selected as one of the ten finalists, will you be able to attend a free dinner for two at The Dralion Restaurant on October 16th?

Yes
No

*9) If selected as one of the ten finalists will you allow us to place your MRM's picture on our website?

Yes
No

I agree that I understand and agree to all of the rules and regulations of the "Most Romantic Man in Dallas Event." (To read the rules and regulations click here)

Yes
No