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Rendezvous
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| *Date & time that I would like to see you: |
for hours. |
| I would like you to bring your friend: |
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| *Where I would like to see you (city & location): |
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| *I will be paying by: |
Cash Credit Card |
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Your Contact Information
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*My real first & last name is:
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*City, State and/or Country where I live:
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*A private e-mail address to reach me at is:
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*Please verify e-mail & type again:
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*My cell phone or primary telephone number is:
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*Please contact me back using:
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E-mail Phone Text Message |
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*Restrictions on calling me:
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*My occupation is:
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*How I would describe myself: |
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My message board screen name is:
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*Your Screening Information - at least one is required
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| Options 1: |
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| Option 2: |
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Contact info for at least two independent
internet escorts that I have seen
(web site, phone, e-mail), plus date and location:
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Option 3:
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I work for (business name, city, state):
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Main phone number:
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Ext |
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Company web site, call restrictions, etc: |
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Other |
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*I heard about you from: |
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If other please tell me where:
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