Snapchat-ghost
How did you FIRST hear about me?
(Required)
(you can check more than one)
Tryst.link
Eros.com
Twitter
Instagram
TER (the erotic review)
P411 (Preferred 411)
NaughtyJade.com (my adult website)
Slixa.com
Other
Other
Name
(Required)
(Please Enter First and Last Name in FULL) No Initials Please
First
Last
D.O.B
(Required)
Month
Month
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Day
Day
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Year
Year
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1920
Are you Military?
(Required)
Yes
No
Email
(Required)
(must be accurate to contact you)
Enter Email
Confirm Email
Cell Phone
(Required)
(must be accurate to text before our meeting)
Is it Ok to text ?
(Required)
Yes
No
Cities That I Am Available In
(Required)
Please Select A City Where You Would Like to Book Me
Please select
Tampa (My Hometown)
Naples FL
Miami
Orlando
Jacksonville
Daytona Beach
Other
Please Tell Me Where You Live In Case I'm Touring Your City In The Future
(Required)
(Please Select the City Closest To YOU)
Please select
Atlanta
Austin
Baltimore
Birmingham
Boston
Buffalo
Charlotte
Chicago
Cincinnati
Cleveland
Columbus
Dallas-Fort Worth
Denver
Detroit
Hartford
Houston
Indianapolis
Jacksonville
Kansas City
Las Vegas
Los Angeles
Louisville
Madison
Memphis
Miami
Milwaukee
Minneapolis-St. Paul
Nashville
New Orleans
New York
Oakland
Oklahoma City
Orlando
Philadelphia
Phoenix
Pittsburgh
Portland
Providence
Raleigh
Richmond
Riverside-San Bernardino
Sacramento
Salt Lake City
San Antonio
San Diego
San Francisco
San Jose
Seattle
St. Louis
Tampa
Virginia Beach-Norfolk
Washington, DC
Please Enter City
(Required)
(Please Select the City Closest To YOU)
Please select
Atlanta
Austin
Baltimore
Birmingham
Boston
Buffalo
Charlotte
Chicago
Cincinnati
Cleveland
Columbus
Dallas-Fort Worth
Denver
Detroit
Hartford
Houston
Indianapolis
Jacksonville
Kansas City
Las Vegas
Los Angeles
Louisville
Madison
Memphis
Miami
Milwaukee
Minneapolis-St. Paul
Nashville
New Orleans
New York
Oakland
Oklahoma City
Orlando
Philadelphia
Phoenix
Pittsburgh
Portland
Providence
Raleigh
Richmond
Riverside-San Bernardino
Sacramento
Salt Lake City
San Antonio
San Diego
San Francisco
San Jose
Seattle
St. Louis
Virginia Beach-Norfolk
Washington, DC
Duration Of Date
(Required)
Please select
1 hr - $1,500
2 hrs - $2,500
3 hrs - $3,500
4+ hrs - ($1,000 each addt'l hr)
Overnight (12 hrs) - $8000 (hotel and airfare not included)
1 Day (24 hrs) - $14000 (hotel and airfare not included)
2 Days - Please Inquire For Rates
3 Days - Please Inquire For Rates
Location
(Required)
*My Incall location is in the Tampa area OR my Hotel Room (If I'm Touring Your City).
INCALL*
OUTCALL
Where is your location?
(Required)
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Date Of Appointment
(Required)
MM slash DD slash YYYY
Time
(Required)
Please select
11:00 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
Available For Appointments 11 am - 11 pm
What information will you be providing for verification?
(Required)
**PLEASE NOTE: If you do not belong to a verification website then you will be asked for personal information such as employment, home or business address, and/or photo identification. (You will be discreetly verified)
P411 (Preferred 411)
TER (TheEroticReview.com)
I do not belong to a verification website**
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