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| Your Sales Rep Is? |
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| Name
(required) |
Please
do not use all Capital Letters |
| This is the name that your company will be called
on our site. It will appear in the listing, and on your web page.
|
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| Headline
(required) |
Please
do not use all Capital Letters |
| A catchy phrase that will be used beside your
name on the summary pages and in the top area on your personal page.
This should be quite short. Please DO
NOT use all capital letters in your headline and DO NOT capitalize
every word (Only the first work in the headline). |
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| Service
(required) |
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| We are
(required) |
Females
Males
Couples
(NOTE: Male only agencies require payment for one month upfront)
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| City
(required) |
(Alphabetical just click and start typing city or scroll down)
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| Province
(required) |
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| Phone Number
(required) |
( )
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| Enter your business phone number. We will phone
this number to confirm your listing before it goes on-line. If you
don't want your telephone number to appear on your page, uncheck
the little box. Note that only paid
ads can have hidden telephone numbers so if you unchecked this box
your ad will not qualify for the FREE trial. |
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| E-Mail |
Show email on my web page:
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| Enter you e-mail address. We will use it to communicate
with you, and it will appear on your web page if the little box
above is checked. All Invoices, expire notices and receipts for
the site are done with email as well. |
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| Web Link |
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| If you have a web page and enter the address
here, it will appear on your personal page on this site. If you
do not have a website yet you may wish to visit our design site,
we have designed a large number of professional websites for ladies
around the world! See our portfolio at http://www.beyondinception.com
(This link will open a new window so you do not loose your place
here if you wish to visit the site - just close the window when
you are done and you will return back to this page) |
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| Question
(required) |
(I.E.. What's my dogs name - the answer will be your password on
the next line) |
| Password
(required) |
You will need this to make changes to your ad. |
| Password Again
(required) |
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| Enter your password twice. The password should
contain only letters and numbers, and be less than 15 characters
long. Your password will be required when communicating with us
for any reason. Also enter a question that we can ask you to remind
you what your password is in case you forget it. |
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| Description
(required) |
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| Enter the text that you would like to appear
on your page. You should use this space to provide a detailed description
of the services that your company provides. |
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| In/Out Calls |
In Calls
Out Calls |
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| Accept Clients |
Males
Females
Couples |
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| Accept Cards |
Visa
Mastercard
Amex |
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