Register

All applications are processed and approved manually on a per request basis.
Creating an account does not grant you immediate access to place an Ad nor advertise on our website, only Verified Members are eligible to do so.

1.Complete the fields below to create your account.
2.Wait for an email confirming your account activation - ETA 12-24 hrs - (verify your junk mail folder given the nature of our website).
3.Once your Account is activated, you may login and interact on our website based on your account type and status.

Account type*

Independent Provider
Non Provider

Username*

Choose a unique username for login purposes

Password*

Enter Password Confirm Password

Name*

Indicate your professional name used in your line of work.

First name Last name

Email*

Enter Email Confirm Email

Gender*

Female
Transgender

Contact number

Website

Geo status*

Please indicate whether you are based in New York state or visiting.

Local
Visiting

City*

Indicate the city you are based in or looking to advertise in.

Civil status*

Couple
Single Female
Single Male

Purpose

Please indicate your purpose in becoming a Member on our website.

Access to Advertiser contact form
Reviews or Feedback
Patron or Sponsor
Screening or Verification

I am looking to advertise*

Escort services
Fetish BDSM services
Massage services

Introduction*

Briefly introduce yourself, your interests and your expectations from becoming a Member on our website.

How did you hear about us*

References

Indicate the names of your references and their respective website or social media link.

Name	Link

Consent*

I hereon confirm that I am at least 21 years old and considered an adult of legal age in my current state of residence.

I hereon certify the following:
1. I am an independent individual acting on my own free will.
2. I am the sole owner of the content provided and acting upon my own decisions and personal choices.
3. I understand that creating an account does not grant me immediate access to interact or place an Ad on the website and that in order to do so, I may be subject to verification.
I hereby authorize the moderator to cross reference and validate the information provided within this form and agree to further collaborate should there be a need to.

I agree and consent to the above statement.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

New York Courtesans

Members Registration

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