Meet Xuan Rayne
pleasurable planning
Legal Full Name
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first name and last name(s)
Name you'd like to be called by, pronouns
Date of Birth
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Month
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Day
Year
Date Picker Icon
Occupation / Source of Income
How did you find this form?
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tryst, private delights, twitter, eccie, etc
E-mail
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Confirmation Email
Phone Number
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Best method of contact
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email
text
Screening
I ask for information only to safeguard my life and well-being. Distrust and unease are poor fuel for good chemistry. Provide me with peace of mind so that the butterflies I have going into our meeting will be from excitement and anticipation.
Can you send me a picture of you holding your ID? Your face and the photo should be visible along with full name, & date of birth visible. Address can be redacted if you wish.
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Yes no problem
Not willing to
I will contact you for this picture after receiving your submission, or you may send to svgwhitelotus@protonmail.com
References from another provider. Link their website, social media, contact information. Include details that will help the provider know who I am asking about.
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Place of employment and proof such as LinkedIn profile, phone number where I can verify, work email address, or paystub
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I will contact you for proof if not provided here.
Social Media & Username(s)
Have you received a COVID19 vaccine? You will be asked to send proof. I am vaccinated and will reciprocate.
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I'm vaccinated.
I'm not vaccinated.
If you are in the United States, free vaccination should be available in your locale. Search online or dial 211 to find options.
Appointment Details
Location (travel costs apply outside of San Diego)
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Street Address
Street Address Line 2
City
State
Postal / Zip Code
Type of appointment
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Outcall - residence (house, condo, etc)
Outcall - hotel
Incall ($200 additional deposit req. in San Diego)
Requested booking date
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Day
Year
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15
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45
Minutes
AM
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AM/PM Option
Requested start time
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Hour
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AM
PM
AM/PM Option
How much time would you like for our first meeting?
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coffee date -- $300
1.5 hr -- $900
2 hr -- $1000
3 hr -- $1100
5 hr -- $1200
overnight -- $3000
+$200 for incall in San Diego. Dates longer than 2 hours MUST include a plan for food.
Additional Details
All appointments are reserved via 20% deposit sent by cashapp, bitcoin, or amazon giftcard. Will you be able to do this?
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yes
no
All appointments are reserved via 20% deposit sent by cashapp, bitcoin, or amazon giftcard. Will you be able to send a deposit?
*
yes
no
Save & finish Later
Submit
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