Application Form

Great, if we have aroused your interest. We are looking forward to receive your complete application.  
 
Please don’t forget to send us some NEW, CONVINCING colour photos of yourself. We need to see your face as well as your body on the pictures.


Goldmember Escorts guarantees that your data will be treated as strictly confidential.

Feel free to call us, if you have any further questions.  +49 (0)175-6767670

Application as *
First Name *
Surname *
Pseudonym
Mailing address
E-Mail *
Phone *

Personal
Age *
Height *
Weight *
Eye colour *
Hair colour *
Bra size *
Tatoo / Piercing
Career / Job
Languages
Hobbies *
Escorterfahrung ggf. Agenturname
Characterization *
Travel
Time availability *
Message
Upload pictures *


You can send us Fotos up to 2 MB / Foto.
Here you can find a Foto convert Software.

* Mandatory information