APPOINTMENTS               Since you desire to become a new client, we have to inform you that we take the safety of our models very seriously. Therefore, we ask that you comply with this by filling out our new client form. As a part of our screening we require this form to be completed in its entirety.  You must fill out all of the required fields as truthful and as honest as possible. You will also be asked to provide a valid U.S government issued I.D when you meet with your companion to validate that you are whom you say you are. Trust that we completely understand the importance of discretion, and you have our sincere promise that we will not share any of the information provided without receiving written permission from you. Failure to fill out the form completely or providing false information will result in your application being rejected. We apologize in advance for any inconvenience this may cause. However, safety is our #1 priority when it comes to our agency and our companions. Note: All information provided is kept strictly confidential. Once the verification process is complete, all occupational information provided is deleted from our system. Also note that any false information provided will automatically deem you unable to ever use our services.   *Asterisk Are Required Fields   I n t r o d u c t o r y     I n f o r m a t i o n     *Full Name       *Telephone       City You Reside In     Age     *Email       Physical Self Description         A Few Words About Your Personality           P e r s o n a l    R e f e r e n c e s     Occupation & Company Name       Company Website     Company Telephone       Telephone Etiquette     Best Time To Call     P r o v i d e r s    R e f e r e n c e s     Date Check       Preferred 411      Room Service 2000 Membership #     Provider Information       O u r    E n g a g e m e n t     Ideal Date & Time January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 at 12 noon 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12 midnight 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am     *Length of Appointment       *Location / Address / Hotel/ Room Number