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Booking Alexia Viera
To book me, please fill out this form accurately and truthfully. Information given here is always double checked. Fake information will not be considered.
15
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1
Full Name
*
This field is required.
Provide a full name. No aliases or fake names, please.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Phone Number
*
This field is required.
Provide an accurate phone number. No VOIP/Google Voice numbers, please. For those concerned, please note that your phone number does not have to be our primary method of communication unless you prefer that to email- I understand a need for discretion.
Area Code
Phone Number
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4
Age Range
*
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22-29
30-39
40-49
50-59
60-69
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5
Occupation/Position/Company /LinkedIn
*
This field is required.
Please describe your work accurately and truthfully. If you have a LinkedIn account or business site, or if you are listed with full name in your work’s online directory, please provide this for easier screening. If you are self employed please provide your business website or page.
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6
Recent Provider Reference
*
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If you have seen a reputable provider (with multiple ads, a Twitter and/or a website) within 9 months time, please leave their name and contact information here. If you’re a first timer, or it’s been more than 9 months since a visit to a provider, that’s fine, please type “N/A.”
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7
ID Verification
*
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Please upload a pic of your government or work ID. You can blur everything out except your name picture and birth date.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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8
What Day and Time will we meet?
*
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9
For how long will we meet?
*
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Please describe your desired date here. Minimum 1 Hour, maximum 24hrs, for longer booking than that, please choose the “extended” option and directly email me your desired date length
1 Hour
1.5 Hours
2 Hours (Most Popular Date)
3 Hours (Cocktails / Lunch / Dinner & private time 1.5hrs social 1.5 hours private)
4 Hours - Dinner Drinks & Delights (Favorite First Date) (2hrs lunch/ dinner 2hrs private)
5-6 Hours - Slow Dance (Extended Dinner Date w/ plenty of private time)
7-8 Hours - All Day Affair
12 Hours - All Night Long (Overnight)
24 Hours - A Full Day (Familiar Clients Only)
2 Hours (Most Popular Date)
1 Hour
1.5 Hours
2 Hours (Most Popular Date)
3 Hours (Cocktails / Lunch / Dinner & private time 1.5hrs social 1.5 hours private)
4 Hours - Dinner Drinks & Delights (Favorite First Date) (2hrs lunch/ dinner 2hrs private)
5-6 Hours - Slow Dance (Extended Dinner Date w/ plenty of private time)
7-8 Hours - All Day Affair
12 Hours - All Night Long (Overnight)
24 Hours - A Full Day (Familiar Clients Only)
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10
Incall / Outcall in OC, LA/SD or DMTY/FMTY?
*
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Incall within LA or Long Beach (30% deposit required at time of booking)
Outcall within LA Long Beach or North OC (20% deposit required at time of booking)
Outcall to South OC (2 hr minimum, 20% deposit plus $100 travel fee required at time of booking)
DMTY to the Valley / Riverside / San Diego (2hr minimum, 30% deposit plus $150 travel fee required at time of booking)
FMTY to another city (domestic only at this time) (50% deposit plus travel costs required at booking)
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11
Which City Are We Meeting In?
*
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12
No Deposit, No Booking Acknowledgment
*
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Deposit can be made via Cashapp, Venmo, or gift card, as stated on my website and it is required at the moment of booking to secure your time with me.
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13
How Did You Find Me?
*
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Please state the ad platform or website that you found me on.
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14
Twitter Handle / PD Handle
*
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(fill in “n/a” if you found me on Tryst or some other way)
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15
Tell me something about yourself!
*
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