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, rs-avs.com, or would like to do a work verification, this is not needed If none, type none, If you have seen ppl in the past, I will know, I just won't know exactly who or when - so don't lie - it looks suspicious when you lie.
Hi Jacque! I would like to meet you on
Date
*
at
Time
AM
PM
*
for
Amt of Hours
*
hours in
City & State
*
.
Will you be hosting, or would you like me to host? (Incall or Outcall)
*
How would you like to take care of your deposit?
*
Venmo
Credit Card
Prepaid Visa (This is a huge hassle for you, I don't suggest it.)
Let's discuss after screening
Where did you find me?
*
Eros
Slixa
Tryst
P411
TER
Private Delights
Twitter
Instagram
TikTok
Do you have social media? Aka, Twitter, Instagram, TikTok, etc etc? If so, please list your handles. Especially if you engage with me so I know who you are! I have 8500 followers, so it's tough to differentiate.
Do you like a little feminine perfume?
*
Light Perfume Yes!
Doesn't Matter
Please, no scents
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.
*
(Submit Booking Request)
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