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Appointment Request
Description
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Phone Number
*
Your answer
Your Age
*
Your answer
Line of Work
*
Your answer
Desired Date
*
MM
/
DD
/
YYYY
Desired Time
*
Time
:
AM
PM
Location of Appointment
*
Incall
Outcall
If outcall what is the location
Your answer
Length of Service
*
Choose
One Hour
Ninety Minutes
Two Hours
Three Hours
Extended Hours
Type of Service (Select all that apply)
*
Social Meet and Greet (30 Mins to get a feel for us and if this is something you are seeking) $150hhr
Basic Experience $400hr
Full Experience (PSE) $600hr
Couples for The Couple Experience $650hr
Required
References for Verification (Handles/Forums/Usernames/Social Media) Include contact info for references.
*
Your answer
Details you would like us to know (What you are into, seeking from the experience, requests/questions for us)
*
Your answer
Where you Found Us
*
Your answer
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