Screening

* Required Field

About You

Name: *
Age: *
City: *
Ethnicity:
Occupation: *
Company: *

Appointment Details

Preferred Dates/Times: *
Preferred Location: *
Preferred Length: *
Outcall Location:
Special Request(s):

References

Names and contact info of providers you've seen before, and any forum usernames or handles:
Light screening is required. I have 3 easy options. 1. P411 member with more than 2 recent okays 2. References from 2 recent companions. References must be on p411 or Eros 3. If you are new and do not have the information above or your references won’t respond. Please send picture of your ID and your work information, LinkedIn, buisness card, website etc
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