Preferred Day
*
-
Month
-
Day
Year
Date
Preferred time (s) AM/PM
*
Alternate day and time if above is unavailable. Please list all possibilities!
*
What city are you interested in scheduling for?
*
City to meet
Type of Session
*
Please Select
GFE
Combo FBSM or Nuru
DUO
Duration of session
*
Please Select
1 Hour
90 Minutes
2 Hours
3 Hours
4 Hour Dinner
4 Hour
6 Hour
Overnight
Weekend
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Ok to Text and/or Call
*
Please Select
Text only
Call only
Text or Call
Neither Text nor call, please remember my email may go to spam so check often if this is the option you choose.
Email Address
*
example@example.com
Resident city and state or country
*
Self description - age, appearance, hobbies, etc
*
Occupation
*
Screening: Option 1: 2 References from established and reputable providers that you have seen. Please include name, email, phone number, website address. Option 2: P411 verification info {please message me from your account} or RS2K account info... Option 3: Real-world employment info, Company website, Linkedin profile link, etc. {something that establishes your identity}
*
Website where you found me
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