Screen & Book

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About You

Name: *
Age: *
City: *
Occupation: *
Company: *
Education Level:
Relationship Status:

Contact Information

Email: *
Phone: *
Accept SMS/Text:
Best Times to call: *

Appointment Details

Preferred Dates/Times: *
Preferred Location: *
Preferred Length: *
Outcall Location:
Traveler to this Area:
Wardrobe Request(s):
Special Request(s):
Any Likes or Dislikes:


Names and contact info of providers you've seen before, and any forum usernames or handles:
How did you hear about me: *

If you are NEW to dating

If you are unable to provide a companion reference, I require a means of verifying your employment. Please provide the following information: Company Name Your Position/Title Company Phone Number, your Direct Extension A LinkedIn URL:

Please fill out my screening form if you are ready to set a date.

 I am not availabale for "Spur of the moment Engagements"

I generally respond within hours and always with 24 hours.



Same day appointments are RARE, as my time is

generally spoken for.


 Please be respectful of this when booking a date.


Just as your time is scheduled, mine is as well.


Summer The One P411 Web Page


 I look forward to your desire to spend time together.

My P411 Id~P188300