Andrea Grey Booking Form
It is imperative to be congruent before our first escapade. I value safety and security foremost, as well as the need for vigilante privacy. Without exception, I require all first-time encounters to be screened. This is not only for my safety and comfort but for yours as well. In respect to privacy, any information conveyed remains strictly confidential. The screening process is a crucial as it establishes a threshold for any future encounters. Only serious and respectful inquires will be considered. If you choose to forego I understand and thank you for your interest. Sincerely Yours AndreaGrey
Full Name
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First Name
Last Name
Age
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E-mail
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Phone Number
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Area Code
Phone Number
Accept SMS/Text
YES
NO
Are you a member of:
PREFERRED 411
ECCIE
TNA Board
RS-AVS
None
Other
Handle Members Name/Username
APPOINTMENT DETAILS
What are your preferred dates and time?
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City requested?
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My Place or yours? If your place what’s your address?
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How long would you like to spend together?
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Wardrobe Request(s)
Any Like Or Dislikes
kindly include contact information and website or ad a reference that I can reach out to.
Companionship Reference #1 Name, Email & Phone
Companionship Reference #2 Name, Email & Phone
Companionship Reference #3 Name, Email & Phone
If you don’t have a reference I accept employment/ identity verification for screening.
Company Name
Occupation or Title
Company Website and/or Email
Company Phone Number
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Area Code
Phone Number
Ext. #
Best Time to Call?
Polite introduction - Tell me about yourself and your ideal date.
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How did you hear about me?
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SUBMIT
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