Schedule a Meeting
About You
Full Legal Name
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First Name
Last Name
Private Email
*
example@example.com
Phone Number (attached to your name)
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-
Area Code
Phone Number
Phone Number (that I should use to contact you)
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Area Code
Phone Number
Do you prefer a text or call?
Text only
Call only
Either is ok
Please do not contact me by phone at all- only email
(Please note that I will not communicate with you by phone in any way unless it is prearranged, including a text or call- your choice- en route to our engagement)
City and State of Residence
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Occupation/Field
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Verification Information
The more information you give me here, the faster I can verify you. :)
Employer:
Employer Main Phone Number:
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Area Code
Phone Number
Employer Website:
Your work email address:
Linked In:
Twitter:
P411 ID:
Reference #1 (Name, Website, Email address)
Reference #2 (Name, Website, Email address)
About Our Engagement
In which city would you like to meet?
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Will you host, or will I host?
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Sarah, I will need you to host, please.
Sarah, I will be hosting.
If you require me to host, please tell me where.
"I understand that if you host, I will need to send $150 in advance."
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Yes
Where will you host? Please remember that I do not visit private residences.
Do you have a firm date?
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Yes
No
Other
Date
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Month
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Day
Year
Date
Time
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Hour
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30
40
50
Minutes
AM
PM
AM/PM Option
If "No" or "Other", please explain:
Which option would you like?
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3 hours: $1500+
4 hours: $2000+
6 hours: $2500+
12-15 hours: $3500+
24-28 hours: $4000+
Other
Please explain:
"I understand that visits of 4 hours and longer, or visits to places other than Tampa require a 50% deposit to confirm."
*
Yes
Please introduce yourself, tell me about you and why you'd like to meet me! :)
*
How did you find me?
*
Twitter
Ad
Google Search
Other Search engine
Referred by someone
Do we follow each other? Should I follow you?
Do you remember which ad?
Which search terms did you use?
If you can, please tell me whom so I may thank them. :)
Cancellation Policy: If you must cancel our engagement at least 48 hours or more before we are scheduled to meet, I'll be sad, and I will require a 50% deposit to reschedule. If you can only give me 47 or fewer hours' cancellation notice, or it is your second time canceling, I will be heartbroken, and I will require a cancellation fee of 50% of the scheduled engagement and you will have to prepay 100% of my rate to reschedule. If I have to cancel, which is rare, I will make it up to you with an extra hour the next time we meet, as well as a full refund of any prepayments.
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"I have read and agree to your cancellation policy."
Terms:
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"I understand that any money paid to you is for time only."
Prove that you're human: How many quarters in a dollar?
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