Simple Event Registration Form

Private Event Request

*** Currently on HIATUS *** Updates at: https://switter.at/@crissisins
Outcall To Your Home or Hotel or Incall To Private Location San Leandro
Name. Age. *

First Name Age
Occupation & Race (required) *
Handles if any. (PrivateDelights, Switter,Tryst, TNA, P411, Eccie, TER, Twitter)
Preferred Date of Meeting (Outcall only to your home or hotel) *

Month Day Year
Date
Preferred Time of Meeting (24hr to 2week notice) Mon-Fri 1pm-10pm and Sat-Sun 1pm-1am) *

: Hour Minutes AM/PM Option
Phone Number

Area Code Phone Number
Have we met before ? *

Yes No
How long of an appointment ? *

One Hour (400) 90 Minutes (500) 2 Hours (750) 3 Hours or More (quote)
E-mail *
What is your current status ? *

Total Newbie Some Experience VIP 3+ Meetings Not My 1st Rodeo
Options for professional verification. (Your occupation / profession must be supported to confirm that you are safe to meet & have sincere intentions) *

LinkedIn Business Card Business Email Work ID / Other None of The Above
Additional Comments : (explicit content will be blocked)
Should be Empty:

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Private Event Request