Online Screening Service:
If you are a member of one of the following screening services, please provide the necessary details I need to verify you.
Companion References: Screening Option #1
Please provide the name, email, website address and contact number for at least two reputable companions you have spent time with.
Employment Information: Screening Option #2
Please provide employment details below for screening purposes
This can be used with Screening Options 1 & 2 but not on its own. The Image slot can be use for a photo or a picture of your ID for faster screening.
Appointment DetailsPlease outline your appointment preferences below.