"A Playful Wink...A Soft Touch...A Sweet Kiss"

 

 

~ RSVP ~

ALL Screening information is required.  Please be assured that all information provided is held in complete confidence and destroyed after our initial meeting.  If you wish to call, please have ALL required Screening information readily available to provide over the phone: (704) 307-7123.

First Name:

Last Name:

DOB:

Email:

Phone# (w/best time to call):

Where would you like to see me:

Charlotte

 

Other City


Date Requested:

Time Requested:

Length of Appt:

 

Incall

 

Outcall

Reference #1:(name/email/phone#/website):

Reference #2:(name/email/phone#/website):

Company Name:
(if you do not have 2 recent, reputable, verifiable references)

Work # (Main company#):

How did you find my site:

Date Check Member ID:
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