GKTLM EXTENDED Service Request Form
To Book an EXTENDED TIME with GKTLM / Copyright GKTLM 2023
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Email *
How did you hear about me? *
Which EXTENDED Package are you requesting? *
Please describe the RESIDENCE or HOTEL that you will be hosting me in. Include the City and Neighbourhood Area if possible.
*Must have separate private room if greater than Overnight*
*No other Residents must be present, unless specifically discussed*
*
ROLEPLAY ADD ONS 
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Requested START DATE (Extended Session) *
MM
/
DD
/
YYYY
START TIME (Extended Session) *
Time
:
END DATE (Extended Session) *
MM
/
DD
/
YYYY
END TIME (Extended Session) *
Time
:
What is the Best Way to Contact you? *
Please provide me with your  PREFERRED NAME and  CONTACT INFO here *
Any other restrictions, comments or questions?
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