VIP Luxury Companion
Your Date request will not be responded to if you do not supply the proper verification.
All your information will be deleted. The information is needed in order to verify who I am seeing. If you are not willing to supply all info below please do not contact me. This is for my safety only, I do not keep records.
Full Name (First and Last)(required)
Best Email to reach you(required)
Your Age (required)
Your Race (required)
City of appointment (required)
*Time of appointment (list a few times to ensure your appointment)
Your Name (required)
Choice 1 (required)
Choice 2 (required)
Choice 3 (required)
Duration of appointment (required)
Your Cell Phone # (required)
Your job title (what type of work do you do) (required)
Name of place you work for (required)
Your work number and extension (required)
Your Work Website: include full web address (required)
Two Valid References: Include your provider friends website, date you last visited, if your friend knows you by cell or email. Please include anything that may help your friend remember you. Your References:
Providers Name (required)
Providers Phone # (required)
Providers Email (required)
Providers Webpage (required)
When did you last visit with her? (required)
How would she know you? By email, cell or both? (required)
How would she remember you, need a detail? (required)
Your Referral information, please fill out completely
What is your Ter handle?
Belong to Datecheck? (required)
What is your personal DC ID?
Belong to Preferred 411? (required)
What is your P411 ID?
Are you an Rs2k member? (required)
What is the full name, phone # and city and state Rs2k has on file?
*Tour Appointments: I am generally available for same day dates. To ensure your date gets set up please provide a few different options for times you are available.
*South Florida Appointments: South Florida dates must be scheduled at least two or three days in advance. Before scheduling a South Florida date please check my calendar to see if I am open in Florida and not on tour.