Select Escort Services
SelectEscortServices.co.uk

Escort Application Page.

Dear Escort or Adult Service Provider,

Many thanks for applying to promote your services on the
Select Escort Services Website.

Please complete the information below as is applicable and as fully as possible. All information is strictly and fully Private and Confidential and is not stored in or transmitted to any Data Base whatsoever.

PLEASE NOTE: Any Box with a * against it must be completed.

Completion Tips: To complete a 'Box' or other section just Mouse over the 'Box' or section and Left Click and complete as required. Also to quickly skip from one 'Box' or section after completing it or not to the next one hit your 'Tab' key (just above your 'Caps Lock' key on the left hand side of your Keyboard).

All Applicants must be aged 18 or over.
In certain circumstances we may request proof of age.

Please note that although there may appear to be a lot to fill in. Not all parts of the form need
to be completed by everyone. So it will not take as long as you might expect.


Please enter below your Personal and Contact Details:

Please enter your main 'working' name or names if you are an Escorting Couple .
*

If you intend to use more than one 'working' name for the different types of Escort service you provide please state in the box below which is which for each type of Escort service you will be providing. For example "Julie for Professional Escorting and Sandra for Social Only Escorting" or "Dianna and John as an Escorting Couple and Claire as a Professional Female Escort".

Please enter your real name if you wish to do so.
(A Christian Name is sufficient).

Please enter a name in at least the first of the above Boxes. Thank you.

Please enter your contact email address.
*
(Please ensure that this is absolutely correct otherwise we will not be able to reply to you. Thank you.) Note: This is the email address that we will use on your Personal Page/s for Clients to contact you with enquiries and Bookings. If you want to use an alternative email address on your Personal Page/s for Clients to contact you with then please complete this in the next box below. Thank you.

If applicable please enter a different email address for your Personal Page/s.
(Please ensure that this is absolutely correct otherwise Clients will not be able to contact you. Thank you.)

Please enter a contact Mobile Telephone Number for you.
* Note: This is the number that we will use on your Personal Page/s for Clients to contact you with enquiries and Bookings. If you want to use an alternative Mobile Number on your Personal Page/s for Clients to contact you on then please give us this number in the box below. Thank you.

If applicable please enter a different Mobile Number for your Personal Page/s.

For your Privacy and Confidentiality please tell us in the Box below the best times, days etc. to contact you on the above number/s, or alternatively the worst times, days etc. And please tell us if you want this information to be placed on your personal Page/s for Clients' information when contacting you. If you have given us two Mobile Numbers and if applicable the information is different for each number please specify accordingly. Thank you.

If you wish to do so please provide us with a Landline Telephone Number for you. We appreciate a Landline Telephone Number as this helps to keep our costs down should we need to contact you to clarify any details required by yourself or ourselves. Please note that this number will only ever be used by ourselves and will never appear on your Personal Page or be passed on to any Client's etc.

Your Landline Telephone Number

For your Privacy and Confidentiality please tell us in the Box below the best times, days etc. to contact you on this number, or alternatively the worst times, days etc.

 


Please tell us below about the type/s of Escort Services you provide, your Fee structure or Hourly Rates and the area/s you cover etc.

Please enter your main operating base or bases (e.g. Leeds, Derby, Nottingham, Cardiff, London)
*

Please tell us in the Box below the general area/areas/locality/localities and/or Town/s or City/ies you provide your Escort Services in. Also if you are a Professional Female Escort please tell us which 'Area Page' you want a link to your Personal Page from. If you want links to your Personal Page from two 'Area Pages' please tell us which two 'Area Pages' you want links to your Personal Page from. For example: If you are from Leeds you may want links to your Personal Page from the Yorkshire and Humberside and from the North East 'Area Pages'.
*

Please tell us in the Box below what type of Escort Service/s you want to provide.
For example: Professional Female Escort / Social Only Female Escort / Professional Gay
Escort / Professional Lesbian Escort / Professional Male Escort/ Social Only Male Escort / Professional Bi Sexual Female Escort / Professional Escorting Couple / etc. etc. If you are unsure at this time please give us a general indication and we will clarify this with you at a later date.
If for example you provide both Professional and Social Only Escort Services please also provide an additional name for your Social Only Escorting if you have not already done so earlier. If you are a Professional Bi Sexual Escort we will assume you will also want listing as a Professional Female Escort. In both cases or similar cases we will take it that you will need two Personal Pages unless you tell us otherwise in the 'General Information Box' at the very bottom of this Page.
*
For an explanation of the difference between a 'Professional Escort' and a 'Social Only Escort' please see 'The main two 'types' of Escorts' section on our Questions and Answers Page by clicking HERE. To come back to this part of this Page afterwards please close the New Window that opened by clicking on the 'X' in the top right hand corner of your screen. Thank you.

If you are a 'Professional Escort' or similar Adult Service Provider do you be provide 'Incall' facilities. Please answer YES or NO

Please tell us in the Box below what you Hourly Rate is or what your Fee Structure is. If for example you provide both Professional and Social Only Escort Services please provide a Hourly Rate or Fee Structure for both services if different.
*

If you have your own Website please provide us with your Website address if you wish to do so. As we will be able with your permission to have your pictures copied off your Website for your Personal Page/s on our Website. Please give your consent for us to do this in the 'General Information Box' at the very bottom of this Page when you reach it. If you want us to place a link to your Website from your Personal Page/s please request us to do so in the 'General Information Box' at the very bottom of this Page when you reach it. Thank you.

 


Please provide below some essential Personal details. 

The following section is for FEMALES ONLY:

Age   Date of Birth e.g. 29/01/84 (Day/Month/Year) or 29th January, 1984.

Height (feet and inches)      Eye Colour

Vital Statistics (e.g. 36-24-36)      Bra Size      Dress Size

Hair Colour      Length and Style

Country of origin      Skin Colour

Do you smoke (YES or NO) If YES, heavy, moderate, socially  

The following section is for MALES ONLY:

Age   Date of Birth e.g. 29/01/84 (Day/Month/Year) or 29th January, 1984.

Height (feet and inches)      Eye Colour

Chest Size (in inches)      Waist Size (in inches)

General Build (e.g. Stocky, Muscular, Athletic, Thin)

Hair Colour      Length and Style

Country of origin      Skin Colour

Do you smoke (YES or NO) If YES, heavy, moderate, socially

The following section is for ALL ESCORTS:

Do you drive (YES or NO) and if so do you have your own transport (YES or NO)

Do you intend to drive yourself or use a Driver/Minder or if you do not drive yourself nor have a Driver/Minder how do you intend to get to Bookings

Please provide in the Box below any Personal and/or background information you feel would be useful for us to know at this time to assist us in providing you with a better service.

 


Please complete below which Payment Period, Payment Amount and Payment Method you wish to use to advertise and promote yourself on our Website.

Please see table below for various Payment Periods, Payment Amounts and Payment Methods. Please note that should you want more than one Personal Page the details in the table below apply to each Personal Page you want.

Payment Period Payment Amount Payment Methods Cost per Week
8 Weeks £15 Credit, Debit Card or Amex. £1.88
16 Weeks £25 Credit, Debit Card or Amex. £1.56
32 Weeks £45 Credit, Debit Card or Amex. Cheque, Postal Order or Cash. £1.41
52 Weeks £65 Credit, Debit Card or Amex. Cheque, Postal Order or Cash. £1.25

Which Payment Period do you wish to use (8, 16, 32 or 52 weeks) (see table above) *

Please confirm Payment Amount in £'s (see table above) *

Do you wish to use our Card Payment Facility? Please enter YES or NO .
If yes you consent and agree to us collecting the Payment Amount you completed above regularly as per the frequency of of the Payment Period you have specified above until cancelled by yourself by emailing us.

OR do you wish to pay by cheque, Postal Order or Cash?. Please enter YES or NO Please not that Cheque, Postal Order or Cash payments are applicable to 32 and 52 week Payment Periods only.

If you are using our Card Payment Facility PLEASE CLICK HERE TO DO SO NOW. Thank you.
Afterwards to come back to this part of your Application and to complete the rest of your Application please close the New Window that opened by clicking on the 'X' in the top right hand corner of your screen. Thank you.

How many Personal Pages will you require? (enter One, Two etc) *
 


Pictures
Have you emailed your Pictures to us yet?
(YES or NO) *

If YES did you use the same email address you gave us earlier? (YES or NO)

If NO what email address did you use?

If you have NOT emailed us your Pictures yet when will you be doing so?

When you email them to us will you be using the same email address you gave us earlier? (YES or NO) If NO what email address will you be using?
 


Personal Descriptive Message (PDM)

If you wish to use the 'General Information Box' below to complete your PDM please feel free to do so. However you may find it more convenient to complete and email your PDM separately either as the content of your email or as an attached Word Document. Bearing in mind that your PDM is your opportunity to 'sell' yourself to your Clients. So the better it is the better it will do it's job for you.

Have you emailed your PDM to us yet? (YES or NO) *

If YES did you use the same email address you gave us earlier? (YES or NO)

If NO what email address did you use?

If you have NOT emailed us your PDM yet when will you be doing so?

When you email your PDM  to us will you be using the email address you gave us earlier? (YES or NO) If NO what email address will you be using?
 


Please use the 'General Information Box' below to provide any other information you feel is appropriate and/or required.


Applicant's Declaration and Statement:

I confirm that I am making this Application to advertise and promote myself and my services on the Select Escort Services Website (www.SelectEscortServices.co.uk), hereinafter called the Company, totally of my own free will as a consenting Adult and that I have not been induced, coerced, persuaded or any such similar whatsoever to make this Application by any third party whatsoever. I further certify and confirm that I am aged 18 or over. I further confirm that I act as a free independent person in all of my activities where related to the Company. I also confirm that I agree in full and without exception to all of the contents of this 'Applicant's Declaration and Statement' and that the content of the same is all fully accurate and true as is the content of this entire Application as a whole and without exception.

Please enter YES in this Box * only if you are in full and complete agreement with the contents of this 'Applicant's Declaration and Statement' and that all details and statements contained therein are true, accurate and correct without exception. Where this Application is from more than one person all terms to the singular are to be deemed to mean plural.

We regret that for legal reasons we will be unable to process your Application unless you are willing to indicate YES in the Box above and have entered a date in the Box below.

Please enter here * the submission date of your Application.
e.g. 29/01/04 (Day/Month/Year) or 29th January, 2004.


Many thanks for your Application and for sparing the time to complete it. Now please Click the 'Send Application' Button below and we will contact you as soon as possible to confirm receipt of your Application and if needed to clarify any outstanding details etc.

You may wish to Print Out the information you have given above for your own records or as a reminder of the information you have given and/or outstanding items that may still be required. If so please Click on your 'PRINT' button NOW before clicking on the 'Send Application' Button below.

Please Click the 'Send Application' Button ONCE ONLY please. Thank you.

       Note: Clicking the 'Reset' Button will clear ALL of the details you have provided so far. If you wish to add something extra or make changes please edit as you would any normal email or 'Word' Document.

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