Preferred day
*
-
Month
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Day
Year
Date
Time(s)
*
Alternate day & time if above is unavailable
*
What city are you interested in scheduling an appointment for?
*
Type of service
*
Please Select
NURU $400
NURU level 2 $550
FBSM $$300
FBSM level 2 $450
NURU/GFE Combo$900
1 hr GFE $750
90 min GFE $1050
2 hr GFE $1300
4hr w/meal $1800
Name
*
First Name
Last Name
Phone Number
*
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Area or Country Code
Phone Number
OK to call and/or text?
*
Either is fine
Text only
Call only
Neither
Other
Other
E-mail
*
Resident city & state or country
*
Self description - age, appearance, hobbies, etc
*
Occupation
*
Screening: Option 1: Member of P411 or RS2K. Option 2: TWO established internet companions that you have seen. Option 3: Work contact info, LinkedIN
*
Website where you found my ad
*
Submit
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