Alexia Viera

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Full Name* This field is required.Provide a full name. No aliases or fake names, please.
First Name
Last Name
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Email* This field is required.
example@example.com
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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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Preferred Method of Contact How would you like me to get back to you? Email preferred (please check your spam box if you haven’t heard back from me within 1-3 hours) but am happy to text if you prefer that!
Please Select
Please Select
Email
Text
Either is Fine
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Age Range* This field is required.
22-29
30-39
40-49
50-59
60-69
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Choose your method of Screening below and please provide the screening in further prompts.Please note: if you have no provider references from within last year / you are new to this, that is fine but you must screen with ID.
Please Select
Please Select
Photo ID (can be state ID, DL, Passport) and 1-2 provider references from within the last year
Photo ID and work reference (an active LinkedIn page, a work website or directory with your name, a work ID)
Photo ID and real phone number (no Google Voice / VOIPS!)
2 provider references from within the last year and real phone number (no Google Voice / VOIPS!)
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Recent Provider Reference(s)* This field is required.If you have seen a reputable provider(s) (with multiple ads, a Twitter and/or a website) within 9 months time, please leave their name(s) and contact information here. 1-2 references works great.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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Occupation/Position/Company /LinkedInPlease describe your work accurately and truthfully & provide a work reference: Can be a LinkedIn profile, your name in a work directory. If you’re self employed / entrepreneur indicate that and link to your business website.
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ID VerificationPlease upload a pic of your government or work ID. You can blur everything out except your name picture and birth date.
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Select files to upload
Max. file size: 10.6MB
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What Day and Time will we meet? * This field is required.
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For how long will we meet?* This field is required.Please describe your desired date here. Minimum 1Hour, maximum 24hrs, for longer booking than that, please choose the “extended” option and directly email me your desired date length
1.5 Hours (Can be 60-90mins, up to 90mins)
2 Hours (Most Popular First 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 - Extended Delights (Extended Dinner Date w/ LOTS of private time. Great for those looking for more of a “clock free” experience)
7-8 Hours - All Day Affair
12 Hours - All Night Long (Overnight)
24 Hours - A Full Day (Familiar Clients Only)
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Incall / Outcall in OC, LA/SD or DMTY/FMTY?* This field is required.
Incall within LA (30% deposit required at time of booking)
Outcall within LA Long Beach or North OC (20% deposit required at time of booking)
Outcall to Pasadena or South OC (2 hr minimum, 20% deposit plus +50-100 travel fee required at time of booking)
DMTY to Santa Barbara / San Diego / elsewhere in SoCal (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)
Touring (30% deposit, +100 travel fee if I Outcall to you)
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Which City Are We Meeting In? * This field is required.
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No Deposit, No Booking Acknowledgment* This field is required.Deposit can be made via Cashapp, Venmo, or gift card (outcall only), as stated on my website and it is required at the moment of booking to secure your time with me.
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How Did You Find Me? * This field is required.Please state the ad platform or website that you found me on.
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Tell me something about yourself!* This field is required.
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