Application Form
for the High-Class-Escort

(all our online forms have secure SSL certificate)
Only data wit a * will be published.
Of course all other data will be secret.
First name*:   Surname*:
Street / Number*:   Zip code*:
City*:   Country*:
      eMail*:
Phone*:   Mobile phone:
I prefer to be reached via: home mobile   Day/time:
         

How did you find out about us?

       

at this point you can tell us something about you, for example what type you are, about your profession, your dress style, your preferences, etc… The  better you can describe yourself the better are your chances of being booked
       
       
Pseudonym*:      
     

 
Age*:   Body size*:
      Weight:
Eyecolor*:   Haircolor*:
Hight (cm)*:   Lengh of hair*:
Cup*:   Hair structure*:
Nationality*:      
Language skills*:    
Language skills*:    
Language skills*:    
Profession/studies*:
Hobbies*:
I am

Smoker

I escort* Men
occasional Smoker Women
non Smoker Couples
Do you have a car?* Yes No
Accompany trips? * Yes No
My fashion style is (3) *: My friends would describe me as *(5):
modern determinded lively
elegant sexy open minded
sporty honest loving live
natural punctual reliable
sexy natural unreliable

Our postal address:
LT-MW
Himmelgeister Str. 57
40225 Düsseldorf
    -Germany-

+49 (0) 173 - 260 280 6

Please send your photos at:

fotos@vip-escort-germany.de

Applications without photos
will not be accepted.