TruckerCupid.com Membership Request
WINK Membership is FREE

 
  • Submit the form below to Request Membership Free or Premium truck driver datingReturn to Homepage

  • Contact information you send us will not be published or
    given to anyone, any business or merchant!!

  • You will be Called by Marge or Dawn within 24 to 48 hours
    (we usually do not call on Sunday)

  • If we cannot call you, your membership will not be approved!
    You Must be SINGLE & at Least 18 years of Age to JOIN

  • CONTACT US or Call 989.892.8433 for assistance if needed.
    Phone call schedule: 7 days per week: Noon to 9 pm ET

COMPLETE THE FORM BELOW AND CLICK SUBMISSION BUTTON

Your First Name

  MUST be your BIRTH Name!

Your Last Name
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 Add Jr, Sr, I, II, III if any apply
Note: Your 1st/last birth name is required. No exceptions!

10 Digit Cell Phone#
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  Make sure # is correct!
Please Use this format: 000-000-0000.

10 Digit Alternate Phone #
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or N/A: Make sure # is correct!
A Back up # in case we cannot reach you on cell OR
you have no cell phone# to give

Primary Email Address

Required

Alternate Email Address
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If you are an AOL user, please provide an alternate email address (hotmail, yahoo, etc)  as we have trouble getting emails through to our members who use AOL. Hotmail & Yahoo are free to use. TruckerCupid.com DOES NOT SPAM!! WE DO NOT SHARE YOUR CONTACT INFO WITH ANYONE!

Login PASSWORD
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  Use mix of 4-16 numbers & letters.
No Capped letters or other characters like , "# $ : ; % ^ *_ or -.
DO NOT USE ANY PHISHING WORDS LIKE:
BANK, MONEY, SECURE, DOLLARS, COIN, CHECK.

Confirm Password:

 

Your Gender:

Male  Female

Nick Name or Handle

or leave blank

Your State or Province

You must live in the US 48, Alaska or Canada

Your Job Status:

   

Your Date of Birth

Required

Select One: REQUIRED
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If you are married, not waiting for divorce, you are not eligible for membership if in search of dating and/or a love interest.

I am Single & Never Been Married
I am Single & Not Committed to Anyone
I am Divorced Single
I am a Single Widower
I am a Single Widow
I am Separated, Waiting for Divorce
I am only looking to team, nothing more

I am In Search Of a

Male Female

Who is in Search of

 

Select One: REQUIRED

Your Sexual Orientation:
Straight  Gay Lesbian  Bi-Sexual
If you are in the process of or have had a sex change please state that in your profile comments. To not do so will eliminate your membership privileges.

Are you a smoker?

Yes No No, But Don't Mind If Someone Else Does
Social Drinker? Yes No

My Truck is my Home:
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Yes (if answered yes, skip physical address answers below)
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Physical Address [Home]
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St, Rd, Av, Cv, Ct or N/A


Your City of Residence
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Or where you take time off

 

State Zip Code
You must live in the US 48, Alaska or Canada
If your mailing address is different than your home address or you live in your truck  please give us the address that will appear on your debit or credit card below.

Mailing Street Address
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Or Skip if same as above
Address is the same as entered above
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Mailing Address-City
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Mailing Address
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Mailing Zip Cod
e
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Or Skip if same as above
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State or Province
Enter again-You must live in the US 48, Alaska or Canada
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<Enter Zip Code Again

 

How Often are you Online?
Daily 1 - 2 times per week 1 - 2 times per month
Less than 1 time per month
  Personality Traits -Check All that Apply
Easy Going
Adventurous
Loves Animals
Loves Children
Monogamous (one woman or one man relationship)
Shy
Outgoing
Outspoken
Upload your photo>>
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I am seeking age from: to
The search is set up to find your age group according to your
Birth Date, within a 5 or 10 year range.

Ex: Member age 35, Search is set up as: 30-40 or 35-45.
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How did you find TruckerCupid?
(Check all that apply)
TruckerNews.com web site
Trucker News Magazine
eTrucker.com web site
LadyTruckDrivers.com
Google  Yahoo!  MSN  Other
Sirius XM Radio
XM Radio
CB Radio /Truck Stop
Vegas Truck Show
Louisville Truck Show
The Travel Channel Extreme Truck Stops Documentary
Word of Mouth/A friend, family member or co-worker
============================================
Check the box for which Membership Level You Desire:
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Wink (free) Can send & receive winks (no messaging)
Premium Membership Levels
1 month - ($35) - Can send & receive personal messages
No discount
3 months ($75) - Can send & receive personal messages
Save $10
6 months ($120) - Can send & receive personal messages
Save $90
12 months ($220) - Can send & receive personal messages
Save $200
I am a woman with a head/shoulders photo so that I get a
Premium Membership FREE! (photo required to receive FREE)
Once approved by our phone call you will be officially signed up
Ladies: If we don't receive a photo within 14 days the Free Premium will become a WINK membership until we receive your photo.

 

Read the
Terms of Service
[Membership Guidelines] provided on this form, which members must hold to
100%!!

That's right. Unlike other personal sites, WE are serious about keeping our service as predator free as humanly possible therefore we enforce the Terms of Service!

trucker singlesREQUIRED COMMENTS: Describe yourself & the kind of
trucker singlesperson you'd like to meet for a personal relationship or
trucker singlesto team together. Up to 2000 characters allowed. Foul
trucker singleslanguage & sexually explicit comments not allowed.
trucker singlesEmail & web site addresses, phone numbers and
trucker singlesphysical addresses not allowed as this section will be
trucker singlesposted on your public profile.
trucker singlesEnter Below Your Public Profile Comments:

  BY CLICKING THE SUBMISSON BUTTON BELOW YOU ARE AGREEING TO OUR TERMS OF SERVICE:
I AGREE TO THE TERMS OF SERVICE

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