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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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