You can always press Enter⏎ to continue
SCREENING SUBMISSION
SCREENING SUBMISSION
Fill out this form with accurate, up-to-date and complete information. Applicants must be new clients booking their first IN-PERSON SESSION with Annette Jane. Please fill out this form completely and provide all of the information honestly. Your cooperation on that is needed to accurately screen for safety and compatibility.
18Questions
Client Booking/Screening Form
Language
  • English (US)
  • 1
    Your name and contact details + best way to reach you is required and must be provided before continuing completion of the form.
    Press
    Enter
  • 2
    Please enter both your first and last name
    Press
    Enter
  • 3
    Provide a valid and up-to-date phone number and email address that I can reach you on.
    Press
    Enter
  • 4
    Using the drag-n-drop function, arrange the contact methods into an ordered list that ranges from most preferred to least preferred.
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    None of this information will be used to disqualify you from booking a session. This information is used for the purpose of validating and confirming your identity during the screening process.
    Press
    Enter
  • 7
    List your general location of residence such as city/town/county. Please be sure to provide any other areas that you've been connected to in the past 5 years like for example where you own property, work at, receive mail, etc. (These details are to help me cross reference when screening and verify accurate identity)
    Press
    Enter
  • 8
    Provide 1-3 social media accounts by listing your username/chat handle. "I don't have one" is not a suitable answer. EVERYONE has some type of digital trace nowadays. If you cannot/will not provide information about your social media or digital history then ask about additional ways to confirm your identity such as submitting your ID.
    Press
    Enter
  • 9
    You will be asked to provide some relevant details and information about the booking.
    Press
    Enter
  • 10
    Select the date of the session that you are booking
    Press
    Enter
  • 11
    Choose which time you'd like to schedule for the booking
    Press
    Enter
  • 12
    I offer sessions that range in time from 30 minutes to 6 hours as well as overnight stays for both incall and outcalls. Please inquire in the 'additional message' portion of the form for the rates of sessions that exceed 8 hours
    Press
    Enter
  • 13
    Please choose whether you want to come to me (incall) OR if you would like me to travel to your place (outcall).
    • Incall
    • Outcall
    Press
    Enter
  • 14
    Please specify the type of session you want to book
    Press
    Enter
  • 15
    Press
    Enter
  • 16

    DEPOSIT POLICY

    Required deposits are to be in the amount of 25% of the total rate of the booking with a minimum of $100 payment. 

    A graphic showing deposit policy rules, refund policy and scenarios that require a deposit.

    You have 3 payment methods options for deposits:

     

    Cashapp  

    Send deposit payment to cashtag $witsandtits

    Venmo  

     Send deposit payment to @therealannettejane

    Crypto (bitcoin)  

    Inquire via text about Bitcoin wallet address (IF APPROVED)

     

    Press
    Enter
  • 17
    Use the guide above to determine if you are booking a session that I request a deposit on. If applicable, choose one of the 3 payment options that I accept. Thank you boys!
    Press
    Enter
  • 18
    The text box below contains is a short scrollable list of the terms and conditions of booking an erotic companionship session with escort, Annette Jane.
    Press
    Enter
  • 19
    Press
    Enter
  • Should be Empty:
Client screening form
[Edit]
JotForm Logo
Now create your own Jotform - It's free!Create your own Jotform
Question Label
1 of 19See AllGo Back
close
Save & Continue Later

Your form is saved successfully!

If you want to continue answering your form later, please enter the email address you would like to send the link to:

Please enter a valid email address.

Something went wrong while saving your answers. Please try again.

Email has been sent successfully.

Save your progress

OR
Already have an account? LOGIN
Skip Create an Account

Save your progress

Terms of ServicePrivacy Policy

Your form submission has been saved as a draft.

If you want to continue answering your form later, please enter the email address you would like to send the link to:

Save your progress

OR
Forgot Password?

Your form submission has been saved as a draft.

We’ve sent you an email with a link to complete your submission.

Logout