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Staff Member Ad Request Form

This Ad Request Form is meant for the staff members of a business currently advertised on this website. You may have your own personal ad, provided at a discount and linked to your affiliated employer.
Please note this is a limited ad. Your personal phone number and e-mail will not be displayed. Your employer's information will be provided for contact information.

Please continue to the form below.....
You will be contacted asap regarding your new ad.

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

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 Ontario-Erotic.

** = Required fields
All other info is completely optional
** Category:
** Affiliation:
Agency Parlour Club Other
** Affiliate:
Name of business currently advertised on this site
Area affiliate advertises in
** City and Province:
Contact Info
** Your Name:
(Name to be displayed in ad)
** E-Mail Address:
(Yours, to approve the ad)
** Please Confirm
E-Mail:
(Re-Enter as above to ensure accuracy)
Personal Stats
Measurements:
Chest and cup size / waist / hips (in inches)
Age:
Hair Colour:
Eye Colour:
Height:
(in feet/inches)
Weight:
(in pounds)
Clients:
Men Women Couples
Availability:
Personal Greeting
to display in ad:
Photos
** Please choose one:
I will provide 1 - 5 photo(s) for my ad I prefer not to have a photo
Private messages 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.
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 Ontario-Erotic.
By submitting this request form, I swear that I am 18 years of age or older