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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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 on from your company REQUIRED
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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