Preferred411.com: Sample Client Application

 

P411 New Client Application




P411 New Client Application

Read-Only Sample Client Application
Buttons and other features have been disabled on this read-only form.

Terms and Conditions
Protecting your information is very important to us.  Therefore, all the Registration Forms have been set up in a secure location to encrypt the data that is submitted to us.
Preferred411 Membership
New Member Application:
  • $99.00 US Dollars
A new member application costs $99.00 US Dollars and includes 6 months of membership once approved.  Membership renewal rates are:

  • $149.00 US Dollars for 1 year
  • $99.00 US Dollars for 6 months
  • $69.00 US Dollars for 3 months
  • $49.00 US Dollars for 1 month
We accept the following forms of payment:
  • Visa/Mastercard
  • Money Order
  • Bitcoin
Once you submit the application with payment, we will start working on your verification. It will typically take at least 2 business days to complete verification.  Applications can be expedited for an additional fee.
Application Requirments
In order to set up your Preferred411 account we will most likely need personal information such as your name, phone number, and work information.
The ONLY exception is if you have references from active P411 providers and are well-established in the community.  Any personal information collected during the verification process is destroyed once we are able to approve your account.
Please understand that we are going to confirm that you're a legitimate client somehow.  We will usually check your employment info and/or provider references.  If we can verify that you're a long time member (in good standing) of a community that may be another way we can verify you.
All applicants must be verified to our satisfaction, and we can be pretty tough!  If you are not prepared to provide this info or we cannot verify your info to our satisfaction, you will not be given Preferred411 membership.
Remember, we do not keep any identifying information on file, this ensures the safety and comfort of us all!
When submitting your request to become a Preferred411 member you will need to create a Client ID and password.  After your account is set up, you may choose to list your personal preferences and other info.
If you prefer to give us your screening info via telephone, to be written on paper and shredded upon completion, please submit the entire application but leave the Screening Information page blank. Once the application has been submitted, we will then contact you for the required information. However, please be aware that this may result in a delay in processing.
Preferred411 is a tool used by many providers to help in the screening process.  They are still welcome to do as much extra screening as deemed necessary to protect themselves, so please don't be surprised or offended if you are occasionally asked for additional info.
P411 User Policy
We reserve the right to revoke any membership for any reason at any time.
If you develop a reputation of being a problem client, your membership will be revoked. If a dispute is brought to my attention that cannot be peaceably resolved, your membership will be revoked.
Memberships or applications that are denied, suspended or revoked, or cancelled by the client, will not be refunded, regardless of the amount of time that may be left on the membership.
Before proceeding with this form please check the box below stating that you agree to all the terms and conditions set forth by Preferred411.
If you do not agree to these terms and conditions then please do not proceed with this form.
If you prefer to give us your screening info via telephone, to be written on paper and shredded upon completion, please submit the entire application but leave the Screening Information page blank. Once the application has been submitted, we will then contact you for the required information. However, please be aware that this may result in a delay in processing.



Step 1 - Create Your User Id
A P411 Client Id consists of Your First Name, the Day you were Born, the First Letter of your Birth City and the last four digits of any ID.

Example:  Robert-23-S-8864
It is very important that you use your real information when creating your P411 Client ID, as it will be verified against identification carried in your wallet when you meet with a provider.
Enter Your First Name:
*
Select the Day your were Born On:
*
Select The First Letter of Your Birth City:
*
Last Four Digits From A Piece of Id:
*


Step 2 - Create A Password
Enter a Password:
*
Confirm Your Password:
*
 
( Your Password must be at least six characters in length )


Step 3 - Security Questions
Please select and provide answers to two of the questions below.  You will be required to answer these questions when contacting Preferred411 support.
Question 1:
*
Answer 1:
*
Question 2:
*
Answer 2:
*


Step 4 - Client Information
Enter Your City:
*
Select Your State:
*
( If you live outside of the United States please enter the City and State you most Frequently Visit above then enter your non-US residence below )
Non-US Residence:
 
Select Your Time Zone:
*
Enter Your Email Address:
*
Important Note Concerning Your Email Address

We recommend that you use an anonymous email service for your hobbying needs.  A working email address is needed because this address will show to the providers and is an important tool for the ladies to confirm that you are the correct person using your Client ID.



Step 1 - Select Your Method of Payment
Select your method of payment below - Payment Options will be available at the end of the Registration Process.
  Visa or MasterCard
  Money Order
  Cash
  Bitcoin
  Other
Promotional Code:
 
Notes about this Payment:


You will not be able to log into this site until payment is received and your account has been reviewed and approved. If you have any questions concerning this process please contact support.

Please see important notes below concerning the methods of payment we accept.

Payment Methods

Visa or MasterCard

We only accept Visa or Master Card at this time. The charge will show up as "VERIFICATION" on your credit card statement.


Bitcoin

Options to pay by bitcoin will be available at the end of the registration.  Bitcoin payments can take several hours to process.  An email will be sent once the bitcoin payment has been received.


Money Order

Money Orders are accepted. Please note that money orders take up to 14 days to arrive. This information will appear again, with all details needed for payment, at the end of the registration.


Cash

Cash is accepted. Please note that it can take up to 14 days to be arrive. This information will appear again, with all details needed for payment, at the end of the registration.


Other

If you have received a promotional code or are eligible for a special offer, please select this option or enter a brief description



Step 1 - Provider Invite
If you were invited to join P411 by a Provider please use the section below to search for the Provider.
Enter the Providers Name, Phone Number or Email Address to search for the Provider who invited you to P411.
 


Step 2 - Screening Information
All information is destroyed upon completion of your verification.
Review Boards  ( If Applicable )
Enter your handle and the site name for any review sites you post provider reviews on.
Handle 1:
 
Site Address:
 
Handle 2:
 
Site Address:
 
( Enter both your Handle and the Website Address above when completing this section )

Screening Services  ( If Applicable )
Enter your code for any other screening services you are a member of.
 


Step 3 - Client Information
Please enter your information below. The following information is not required, but the more information you provide, the quicker we will be able to verify you.
First Name:
 
Last Name:
 
Cell Phone:
 
Best Time to Call:
 


Step 4 - Employment Information
If you have at least two Provider References, we do not need to do an Employment Verification. In that case, you may leave the following fields blank. To add Provider References click the Next button to proceed to the next page.
Employer Name:
 
Company Web Site:
 
Employers City:
 
Employers State:
 
Main Office Number:
 
Direct Office Number:
 
Department or Area:
 
Best Time to Call:
 
We are very discreet when calling, "this is Mary McDonald from XYZ Group, could you please put me through to Mr. X's extension?" Please include any additional information for us when calling below:


Step 5 - Special Circumstances  ( If Applicable )
If you are a student, unemployed, on disability, retired, independently wealthy, etc and have no provider references, we will still able to verify you using alternate methods. Please enter some general info about your situation in the box below and we will contact you for more info.



In lieu of employment info we will accept P411 provider references.  Be aware that the provider(s) will see the info you enter here, so please fill out as much non-sexual detail as possible so that the she can be absolutely sure of who you are on the first try.  Also, it wouldn't hurt to check with the provider before using her as a reference, to avoid delays.
Important:  A provider reference can only be given by a P411 provider with whom you've had a session!  If you have not had a session with a P411 provider, you do NOT have a provider reference.  In that case, please go back and fill out the Employment Info.
Enter up to three P411 providers to send a reference request to, using the Search options below:
Provider Referral #1
Search P411 Providers:
 


Important:  A provider reference can only be given by a P411 provider with whom you've had a session!  If you have not had a session with a P411 provider, you do NOT have a provider reference.  In that case, please go back and fill out the Employment Info.
Provider Referral #2
Search P411 Providers:
 


Important:  A provider reference can only be given by a P411 provider with whom you've had a session!  If you have not had a session with a P411 provider, you do NOT have a provider reference.  In that case, please go back and fill out the Employment Info.
Provider Referral #3
Search P411 Providers:
 




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Copyright 2005-2020 Preferred411
Copyright 2005-2020 Preferred411
Copyright 2005-2020 Preferred411