Please allow 48 hours after you submit this form for your request to be processed.
A sample ad will be created and a link will be sent to you to proof read and approve.
Further details regarding ad information, photos and payment will be discussed at that time.
Ads must be prepaid before being added to Erotic Canada.

** = Required fields
All other info is completely optional

** Category:

Escort Massage Provider Exotic Dancer Dom Provider Phone Sex Other

** Affiliation:

Independent Agency Parlour Club Other
Business Name of Affiliate (if NOT Independent)

** City and Province:

License # (if applicable):

(some locations in Canada require an escort to be licensed)

** 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 Address in ad? Yes No

Phone:

(Only if you wish a phone number to be displayed in ad)

Website URL http://:

(if applicable)

Personal Stats

Measurements:

Chest and cup size / waist / hips (in inches) - example 34B/24/34

Age:

You must be at least 18 to advertise here

Hair Colour:

Eye Colour:

Height:

Weight:

Services:

Incalls Outcalls Both

Clients:

Men Women Couples

Rates:

Availability:

Personal Greeting
to display in ad:

**Please choose one:

I will provide photos for my ad I prefer not to have a photo

Questions or Comments:

Referral info

If a current advertiser here referred you to this site please type the advertiser's name here:

Please allow 48 hours after you submit this form for your request to be processed.
A sample ad will be created and a link will be sent to you to proof read and approve.
Further details regarding ad information, photos and payment will be discussed at that time.
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