Ladies' Application

Thank you for your interest in Amy Laurent International, the most exclusive club in highend matchmaking.

Please fill out the application in its entirety and submit along with one recent photo. If we feel we may be able to place you within our network, we will contact you for an in-person interview. At that time we will ask you to complete a more extensive questionnaire and ask that you bring with you an additional one or two photos. We will also go over in greater detail about our service as well as answer any questions you may have.

Please note ladies: We will not process any initial application that does not come with a photo! Please make sure after completing this form to email your photo along with your first and last name in the subject line to: photos@amylaurent.com

Name (first/last)
Address
City
State
Postal Zip Code
Country
Best Contact #
Best Time to Reach
Home Phone
Work Phone
Cell Phone
Fax #
Email Contact
Age
Date of Birth
Height
Weight
Hair Color
Eye Color
Measurments Bust (with cup size):

Hips:

Waist:
Place of Employment
Occupation
Address
How did you hear about us?
What is your marital status?
What is your desired dating age range?
Please briefly describe what qualities are important to you in a man. (You will fill out a more extensive questionnaire should you sign with us, so a few sentences is sufficient)
   

Please submit all photos to: photos@amylaurent.com