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* What is your first and last legal name?

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* Please submit the email or phone number you would like to be contacted with. Burners and VOIPs are allowed for contact but not for screening.

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* Which service are you interested in booking?

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* Have you read my rules and understand I will only book you if you have booked a hotel? (Does not apply to public social dates)

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* Did you submit your real phone number above? I do not accept VOIPs and Google Voice for screening, and I will know if you have been untruthful.

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* If no, what is your real personal phone number? This is for screening purposes only. I will NOT contact this phone unless it is the same as your contact phone number. If your preferred contact was email or a burner phone, that is how I will reach out to you.

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* What is the date and time you are interested in booking? Please provide 3 options. I do not offer same-day bookings.

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* How would you like to screen?

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