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Nicole’s Appointment Request Form

  • 1
    By submitting this form, you confirm that you are 21 years of age or older and requesting time for companionship only. No illegal activities are discussed or provided.
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  • 2
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  • 3
    Are you currently employed by, affiliated with, or acting on behalf of law enforcement or any government agency, Including any PI related activities? Do you have a badge number?
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  • 4
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    • Please Select
    • Yes
    • No
    • Military Affiliation
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  • 5
    You must be 21+ years of age or older.
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  • 6
    BURNER/VOIP numbers or iCloud emails — I will automatically discard your booking form!
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  • 7
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  • 8
    Please Select
    • Please Select
    • Instagram
    • X (Formerly known as Twitter)
    • Tryst
    • Onlyfans
    • Telegram
    • Discord
    • Referral
    • ListCrawler
    • Escort alligator
    • Escort Babylon
    • Mega Personals
    • Private Delights
    • Other
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  • 9
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  • 10
           I value respectful, relaxed, and enjoyable appointments. To make sure we both have a great experience, I kindly ask that you arrive on time, communicate clearly, and come freshly groomed. Kindness and mutual respect go a long way. If at any point expectations aren’t aligned, I reserve the right to end the appointment early to keep things comfortable and positive for everyone     Do you understand and Agree? 
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  • 11
    *Please check my Telegram Channel for Tour updates
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    • 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
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  • 12
    I love building long lasting connections 🥂
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  • 13
    A deposit is required if I travel to you (No Exceptions - Failure to submit deposit when dates are confirmed will result in cancellation/blocking). If you are seeking a “FMTY” — a 20% deposit is required!
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  • 14
    Please Select
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    • Hhr
    • Hr
    • 12 hours or more
    • Other amount (will discuss upon contact)
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  • 15
    Please Select
    • Please Select
    • Agriculture
    • Construction
    • Education
    • Engineering
    • Finance
    • Healthcare
    • Information Technology
    • Insurance
    • Manufacturing
    • Mining
    • Real Estate
    • Retail
    • Transportation
    • Utilities
    • Wholesale
    • Other
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  • 16
    All deposits apply towards total session. Deposits can be paid via Cashapp, Apple Pay, Zelle, and Venmo.
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    I understand 🥂
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  • 17
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  • 18
    Feel free to ask questions or special requests such as outfits, music, or accommodations.
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  • 19
    Live video verification gives us the chance to say a quick hello!
    Please Select
    • Please Select
    • FaceTime
    • Google Meets (Duo)
    • Instagram
    • Telegram
    • Discord
    • Other — A link for video chat can be shared with you via FaceTime or Google Meets (Duo). If this option is selected, I will share a link with you to complete the video verification.
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  • 20
    To proceed with your appointment request, please upload a clear photo of yourself holding up four fingers. This is a standard verification step to ensure discretion, safety, and a seamless experience.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 21
    To proceed with your appointment request, please upload a clear photo of yourself holding up four fingers. Please make sure your face is visible. No sunglasses or filters
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  • 22
    After submitting this form, please send a brief text with your name to confirm your request. Incomplete submissions will not be reviewed. 909-682-6230 telegram @RealxTrophy
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