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1-800-TO-FLIRT
EXT. 0378246

CONTACT ME

If you would like to schedule a Session with me, please enter your information below. Or you may simply send me an E-Mail Or Call 585-889-1892 or 606-272-7880

Full Name: (as shown on license) *

Race
Age
Occupation
Email

Home Phone
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Cell Phone
Address: (as shown on license) *
Company Info: (Name of Company you work for?) *
Have you seen me before?



If Yes where?
How were you referred to me?
Location: (as in which City and State you would like to see me in)?
Time and Date: What time and day would you like your appointment on?
How long would you like your appointment for?
Incall or Outcall: (your place or mine?)



Type of Session (Domination or GFE?)



Where are we going to be meeting at? If at a residence, please provide the full address and direct # to residence.
Are you a member of roomservice2000?



I'm looking forward to Meeting you and Kicking your Ass!


 

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