London Individual's Ad Request Form


Individual Entertainer Ad Request Form

This Ad Request Form is meant for Escorts, Massage Providers,
Exotic Dancers and any other Individual Entertainer promoting themselves.

If you are a business with staff, please use the Agency/Club/Parlour/etc. form.

Please continue to the form below.....

** = Required fields - All other info is completely optional



Please allow 48 hours after you submit this form for your request to be processed.
Ads must be prepaid before being added to Erotic Canada.

** = Required fields
All other info is completely optional
** Ad Level:
$40 Economy (5 pics) $80 Standard (13 pics)
** Category:
** Affiliation:
Independent Agency Parlour Club Other
Business Name of Affiliate (only if NOT Independent)
Please list all location(s) you work in (or travel to) within Canada
** Cities:
Contact Info
** Name:
Name that will be displayed in ad
** E-Mail Address:
Required to verify ad copy before it's posted
** Please Confirm
E-Mail:
Re-Enter as above to ensure accuracy
** Display E-mail?
Yes Display in Ad No, e-mail is for Administrator's use only
Business Phone:
Only if you wish a phone number to be displayed in ad
Website URL http://:
(if applicable)
Services
** In/Out:
Incalls Outcalls
** Clients:
Men Women Couples
Experience Offered:
Safe GFE GFE PSE ymmv
Special Fetishes:
Example: Greek, Dom, GS, Toys, Role-Playing, Strap-on, etc.
Rates:
Average for London Ontario is $140 for half hour - $200/hour
Availability:
Days of the week, hours on call or "as per posted schedule"
Personal Stats
** Measurements:
Chest / Waist / Hips (in inches) - example 34B/24/34
** Age:
You must be at least 18 to work in Adult Entertainment
** Hair Colour:
** Eye Colour:
** Height:
in feet/inches
Weight:
in pounds (or an approximation *wink*)
Ethnic Appearance:
examples: Caucasion / Ebony / Asian / Latina / Pale Irish / Blue Alien
Personal Greeting and/or
other info to display
in your ad:


Photos
** Please choose one:
I will provide photos I need a photographer I prefer no photos
Private message to the Erotic Canada Administrator regarding this ad
Questions or Comments:



Please allow 48 hours after you submit this form for your request to be processed.
Ads must be prepaid before being added to Erotic Canada.
By submitting this request form, I swear that I am 18 years of age or older