Sabrina - Booking Form

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Disclaimer: This form is to be filled out by adults only over the age of 21+. If you are under the age of 21, please leave now. By completing the following form, you agree to receive SMS upon completion. You understand and accept responsibility for your own actions, thus releasing the website owner, the website builder software, its staff, affiliates and advertisers from all legal liability. This form is not intended to be viewed/completed by minors. NO sexual activities are implied or condoned by the creator(s) of this form. This form does not promote prostitution nor is this advertisement or any content therein an offer for prostitution. Money exchanged is for companionship only and anything beyond that is a choice made between two consenting adults and not contracted for by the site or its creator(s). Under no circumstances does the website owner, the website builder software, its staff or affiliates consent to or has knowledge of any illegal activity committed by anyone associated with this website.* This field is required.
I agree, and am over 21+I disagree, and or am under 21+
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Name* This field is required.
First Name
Last Initial
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Phone Number and Email Contact * This field is required.Those with BURNER/VOIP numbers or Icloud emails will automatically have their booking voided.
Please enter your valid email.
Please enter a valid phone number.
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Chosen Method of Verification* This field is required.For verification, please provide one of the following: A photo of you holing your Photo ID next to your face (block out all information except your name), a reputable social media account showing your name (3-5 years of use), LinkedIn URL with matching Email, and or 2 References from past providers you have seen (their advertising name and phone number). Bonus point to those who properly introduce themselves.
Please Select
Please Select
Photo ID
Reputable Social Media Account
LinkedIn URL
2 Provider References
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Insert Requested Verification* This field is required.If you choose to submit all verification information, bonus points for you! Please ensure your submitted information is legible and correct as failure to do so will lead your booking being voided.
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Large
Normal
Small
Ok
Ok
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Seeking my Travels to You? * This field is required.A $100 deposit is required if I travel to you (No Expectations - Failure to submit deposit when dates are confirmed will result in booking being voided). If you are seeking a "FMTY" - a 50% deposit is required as well as travel expenses being covered.
I will travel to you (Deposit Required)You will travel to me
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If I travel to you - a $100 deposit is required, if requesting a "FMTY" a 50% deposit is required as well as all travel expenses covered. If you are unable to submit the deposit for our meeting prior, your booking request will be voided. All deposits apply towards total.
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I do not understand.
I do understand.
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Location you are Seeking?* This field is required.City and State you are looking to book in.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please list the state.
Please list the city.
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Date and Time* This field is required.Please list the Date and Time in which works best for you. First time cancellations made within 24Hrs will result in a 10% cancellation fee and the following date planned will have a 25% deposit required. Second time cancellations made within 24Hrs will result in a 25% cancellation fee and a 50% deposit will be required for all future dates. Third time cancellations made within 24Hrs will result in a 50% cancellation fee and will no longer be able to date.
Please list date mm/dd/yyyy
Please list time 00:00 to 00:00
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Duration of Time Together? * This field is required.Please note longer dates will be priority.
Please Select
Please Select
Please Select
15 Minutes (Not Offered in all Locations)
20 Minutes (Not Offered in all Locations)
30 Minutes
45 Minutes
1 Hour
2 Hours
3 hours or more (My personal favorite)
12 hours or more
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ExtrasAre there any extras you would like to add?
Please Select
Please Select
GFE Text/Email - $50/Day or $200/Week (2 Photos Including)
GFE Phone Call - $50/Hhr or $150/Hr
GFE Video Call - $150/Hhr or $250/Hr
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