Heavenly Allure Advertiser Submission

Fill out the sections below to get started with becoming an advertiser.

Business Name *
Services Provided * Escort Massage Dancer
Extra listing fee for multiple selections
Association Independent Agency
Email Address for Display with AD
Phone Number for Display with AD - (###) - ### ####
Web Site
Location *
Bio Box Information
Age to be displayed on Page
Height (ft-in)
Weight (lbs)
Measurements
Ethnicity
Enter a description of yourself and anything else you would like to have added to your profile *
Image Upload *
Image Upload
Image Upload
Would you like your identity masked in your photos? * Yes No
Photo and Ad Release Information. All Information Below will remain private.
Full Legal Name *
Email *
Date of Birth * / MM / DD YYYY
Phone * - (###) - ### ####
Special Offer Code
Terms and Conditions of Advertising on HeavenlyAllure.com I understand the following rules and regulations that pertain to advertising on Heavenly Allure: I hereby declare that I am over 18 years of age. Heavenly Allure reserves the right to refuse the use of photos and text that are pornographic, of low quality or infringe a copyright agreement. Heavenly Allure will refuse all photos that are not of the actual advertiser.
I hereby authorize Heavenly Allure and its agents, employees, and representatives, to publish my pictures and/or pictures I am submitting for the purpose of advertising on heavenlyallure.com website. I hereby grant them the sole and express right of publication on their website and strictly prohibit the publication of this picture on any other website. I agree to hold them harmless from any liability arising from the publication of these pictures and further agree to bear any and all liabilities resulting from the publication therein. I understand that Heavenlyallure.com is only an advertising agency, no different from the yellow pages. Heavenlyallure.com provides neither advice nor participation in the conduct of my business. Heavenlyallure.com only sells space for advertising and are not further involved in my business in any way. I also hereby declare that I am over 18 years of age.
By clicking the Contine button below, I agree to the terms and conditions listed above, and I also agree that an electronic copy of this authorization shall be as valid as the original.

Heavenly Allure Advertiser Submission

Heavenly Allure Advertiser Submission

Bio Box Information

Photo and Ad Release Information. All Information Below will remain private.

By clicking the Contine button below, I agree to the terms and conditions listed above, and I also agree that an electronic copy of this authorization shall be as valid as the original.