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Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number. No VoIP numbers.
Resident City & State*
Age*
Preferred Method Of Contact

Phone CallTextEmailNo Preference
Hobby Phone Number
Appointment Details
Desired city for Appointment*
Date*

MonthDayYear
Date
Appointment Time *
Where Would you like to meet*

Your Location- OutcallMy Location - Incall
Outcall Location Address
Appointment Type*

GFE - CompanionshipKings MassageNuruNuru PlusMilking TableKings MilkingThe Ultimate MilkingThe Seductive TouchKinkSensual WrestlingFly me to you4 Handed MassageLunch Special * Vegas Only*
Appointment Length*

1 Hour90 mins2 Hours3 Hours4 HoursLunch DateDinner DateOff the ClockOvernightLunch Special - Incall Only
Screening Options

Please Choose 1 of the following options below. You are welcome to do more than 1 for quick screening. Forms with incomplete screening information will not receive a personal response.
Which method of screening do you plan to complete ?*

Employment Verification2 Provider ReferencesAlternative Screening
2 Provider References
Please Include their Website, Email, Phone number, and social media links.
Employment Verification: Please include a Link to your company website( Your photo must be present)or LinkedIn page.
Company Website/ LinkedIn
Alternative Screening

Please contact me for alternative screening. This is name verification screening
Method to receive

Send by emailSend by text
File Upload

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About You
Tell me about yourself? I enjoy a thoughtful introduction so we can better connect before meeting.*
How Do you feel about Deposits? *
I have read your FAQ page*
I have read and agreed to your cancellation policy*
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Appointment Details

Screening Options

Alternative Screening

About You

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