Verification

To verify your information, please fill in the form below in its entirety. Once approved, you will receive an email from me with a password to schedule an appointment to the right.

FIRST NAME *
LAST NAME *
AGE
I do not discriminate
Email *
Please check for typos- I need this to get back in touch :)
Phone
Required for screening purposes
Can I text your above phone number on the day of our meeting?
City and state of residence
Where would you like to see me?
Incall or Outcall?
DESIRED DATE?
dESIRED TIME?
BOOKING LENGTH
3 hours or more require a meal together or room service.
References: Minimum of 1 within the past 18 months
If applicable
P411 or PD handle
If applicable
LinkedIn or link to profile on company website
If applicable
A small deposit is required after you've cleared screening and we've arranged a date and time. What's your preferred option? *
CashApp and Venmo are preferred, but Amazon GC in store does not leave a paper trail.
How did you find me? *
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