ID and Work Verification
If you are unable to provide references, please complete and submit this form for screening.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Preferred Method of Contact
Email
Text
I'm Reaching out to Request (check site for rates)
1/2 HR
1 HR
90 mins
2HR
3 HR
Duo
Light Fetish
Couple
What City are you in? Local or Visiting
Incall or Outcall
Kindly provide the date you are requesting along with a few time slots that work for you
Please upload a picture of you holding your ID (You can edit out important info if your worried, but i assure you this info will be deleted) MUST BE CLEAR PICTURE REQUIRED.
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VERIFICATION OPTIONS ….Paste a link to your LinkedIn OR Type "Emailing you from Work Email" then SENDto Email Genagem@protonmail.com OR attach a picture above of your Work badge or business card and type "Attached Above" OR send send a link to website you are mentioned in ( from your company) OR Type me a name and phone or email of two providers as references REQUIRED
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Please complete this form and return to my website to fill out the "Learnign more about You" form. This additional form is desinged to Enhance our experiance together. Thank You!
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