Scheduling and Screening

Scheduling and Screening
Legal First and Last Name *

First Name Last Name
Date of Birth *

Month Day Year
Date Date Picker Icon
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 Date Picker Icon
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) Fly Me To You or extended
Location of Our Meeting *
Will I be hosting, or will you be hosting? *
How would you like to send a deposit? *

Cash App (Preferred) Credit Card (You enter everything via secure merchant services, please do not send me your credit card information!) Giftly.com or Giftrocket.com Vanilla Visa Gift Card Numbers From Grocery/Convenience Store Other (Please write in the introduction. I am unable to take PayPal or Venmo, sorry.)
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. *

Tastefully Elegant/Dressy/Fancy Tastefully Casual/Girl Next Door Soccer Mom/Suburban Wife (Yoga Gear) 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. *
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