Male Escort Registration

* (denotes required field)

First Name *:

Last Name *:

Address Line 1:

Address Line 2:

City:

State:

Postcode:

Country:

Date of Birth*:

Website / MySpace / Facebook:

Email Address*:

Confirm Email Address*:

Phone Number Mobile*:

Nearest Major Airport:

Appearance

Height :

Weight :

Hair Color:

Eye Color:

Ethnicity:

Sexual Preference:

Mannerism:

Body Build:

Tattoos:
 Yes No

If yes, where:

Piercings:
 Yes No

If yes, where:

Waist Size:

Shoe Size:

COCK Size:

COCK Type:

Body Hair:
 Chest Legs Back Arms Armpits

Desired Work:
 Solo Duo (M/F) Duo (M) Group (M/F) Group(M)

Previous Escort experience:
 Yes No

Advance Notice Needed:

List Experience (if any):

Willing to travel:
 Yes No

Where did you hear about us:

Other Information We should Know:

What do you think your best attributes are:
 Body Intelligence Face Heart Personality Sense of Humor

What Service Are You Applying For? :
 Signature Club  Exclusive Plus  Exclusive  Premium  Basic

Accept terms and conditions *:
 Accept terms and conditions