New Client Screening

After receiving your information and its approved. I will email you back with instuctions on what to do next.

I require a 30 minute advance notice for ALL appointments.

The more information you provide to me up front, the easier our scheduling will be and the more comfortable I will feel meeting you.

Submitting false, incomplete or misleading information will cause your request for an appointment to be declined.

Declining to provide information... then I am not the provider for you and you should seek services else where.

If you have not heard from me with-in 24 hours then I'm afraid that your request has been declined.

Members of Preferred411, ECCIE, and Naughty Reviews please provide your member name/handle, email address and phone number.

Please be discreet. I WILL NOT discuss ANY details, negotiate donations or have intimate conversations over the phone, email or in-person.

All your information is kept in confidence and is only used for screening purposes.

Full Name (Please include middle initial)*
Age selector*
Phone*
Email*
Use this area for additional information. Example: P411 member name/handle*
Code*
	* = Required field

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