Valentines Blind Date

Peak FM have teamed up with Back to the Nineties in Chesterfield who are looking for 4 single guys and 4 single girls for Valentines Blind Date on 12th February

The winning couples will receive a Valentines meal for 2 at IL Portico Italian Restaurant also:

• A Chauffeur driven Limo to the restaurant
• A Champagne reception at Back to the Nineties
• An on-air interview with Sean and Becky to see how the date went

“For your chance please fill out the form below:

Your Entry

What one question would you like to ask on a blind date?


Sum up your personality in 10 words or less


Looking for (Fun, Friendship, Relationship)


Gender:
Relationship Status:

Your Details

First Name:
Surname:
Address:
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Age:
Date Of Birth: / /
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