Scheduling and Screening

Scheduling and Screening
Legal First and Last Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Email *
example@example.com
Registered Phone Number (No Burners) *

Area Code Phone Number
City and State of Residence *
Job Title *
Company *
Company Website *
If none, type none
Memberships & handles *
Aka - RS-Avs.com, P411, Twitter, Private Delights - if none, type none
Provider References? (names & website addresses) *
if you have P411 with recent OK's, o rs-avs.com, or would like to do a work verification, this is not needed If none, type none
Date of our First Meeting *

Month Day Year
Date
Time *

: Hour Minutes AM/PM Option
Location of our first meeting (City and State) *
How long would you like to spend together? *

2 Hours 3 Hours Dinner Date/4 Hours Six Hours Clockless evening (up to 8 hours) Check In to Check Out Extended/Private Travel
Location of Our Meeting *
Will I be hosting, or will you be hosting? *
Are you willing to send the required deposit? I take cash app, credit card, and can work out other forms if you are patient and don't make it awkward for me to ask. *

Yes, I am willing to send a deposit and I won't make it awkward for you No, I won't send a deposit
Where did you find me? *

Eros Slixa Tryst P411 Private Delights
Do you like a little feminine perfume? *

Light Perfume Yes! Doesn't Matter Please, no scents
Do you have a preference of attire? For lingerie, I generally wear classic bra & panties with heels. *

Fancy / Glam Girl Next Door Business Casual/Date Appropriate Sorry, I don't do super casual No Preference
Introduction - something about yourself, so I can get to know you. I do like some correspondence here so I can get a feel for you. *
Please select below... sorry, I do not pre-screen. *

Yes, I'm ready to set a date and time and secure it with a deposit.
FYI all forms are immediately deleted

All forms are immediately deleted from this database after screening is complete.
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Scheduling and Screening

FYI all forms are immediately deleted