Booking Request Form

Booking Request Form

Las Vegas, NV
Full Name *

First NameLast Name
Date of Birth*

MonthDayYear
Date
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Accurate information is required for verification and must match legal identification.
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@gmail.com
1 hr $50090 mins $7003hrs $1400Hhr $300Other
Date & Time
Any other specific date and time, if the above selection is not suitable.*

MonthDayYear
Date
Time AM/PM Option
City & state? If I’m currently not in your area additional travel fees depend on location. *
Any details I should know about you & your request. bookspecialtee@yahoo.com if I wasn’t clear on any questions.
Incall or Outcall
Must provide transportation for outcall or x amount due for uber.
Deposit

Same-day bookings: $100. For all other bookings, details will be provided after your date is confirmed.
By signing this agreement, you acknowledge and agree to the following terms: The purpose of our meeting is strictly for social and non-sexual companionship between two consenting adults. For the safety and comfort of both parties, any items or behaviors deemed threatening (including weapons or other dangerous objects) are not permitted. I reserve the right to cancel or end the session at any time if I feel unsafe or uncomfortable for any reason. You agree to participate in a brief screening process prior to our meeting to ensure mutual comfort and safety. A deposit is required to confirm your appointment. This deposit is non-refundable under all circumstances, including cancellation or failure to appear, except in the event that I choose to cancel the session. By signing below, you confirm that you understand and agree to all terms outlined in this agreement, and that your participation is entirely voluntary.*
Cashapp,$shes2special||paypal, @shes2special||Zelle, 4424177873
Non refundable after appointment confirmed.
Should be Empty:

Booking Request Form

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Deposit