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1. Please provide your name and contact details, in case we need to contact you.

2. Which escort agency company did you pay money to?

3. How did you find out about the escort agency?

4. How much did you pay them?

5. When did you pay them?

6. How did you pay?

7. Have you got the details of the bank account you paid money into? If possible please provide the name of the bank, account number and sort code.

8. What promises were made to you to induce you to pay the fees?

9. What did you get for your money?

10. If you received nothing did you try and obtain a refund and were you successful?

11. Would you be willing to make a statement to us regarding what has happened to you?

12. If you have any other information and comments, please do so in the below section