New Client Form

New Client Form:

All appointments without a hobbyist account such as a Private Delights or P411 (must have recent reviews) will be asked for a deposit.
What site did you see my ad?

ErosTrystPrivate DelightsOther
Name*
Age*
Ethnicity*
Phone Number

Area CodePhone Number
Email
example@example.com
Screening Information (Mandatory for all New Clients)

All appointments without a hobbyist account such as a Private Delights or P411 (must have recent reviews) will be asked for a deposit.
1). A hobbyist account such as a Private Delights, P411 etc., (ex. PD username: starfish101)
Or 2). Photo of ID or Business Card or Selfie or Proof of Employment (any of these are acceptable forms of verification but not mandatory if you have references or a hobbyist account with recent reviews)

Browse Files

Cancelof
LinkedIn Info
Type in your LinkedIn Url

Or 3). References Require a 48hr Notice to Verify Their Authenticity.

	Provider Name	Website or Contact Information
1
2

Deposit

All appointments without a hobbyist account such as a Private Delights or P411 (must have recent reviews or will be asked for a deposit).
A DEPOSIT of $100 deposit to visit me (incall) or to visit you (outcall) is required for all appointments without a hobbyist account such as a Private Delights or P411 (must have recent reviews) will be asked for a deposit.

VenmoCashAppGiftcardPayPalBitcoin
Appointment Information

I need some appointment details
What city would you like to meet?*
And for how long?*

1 hour In: 500 Out: 60090 min In: 750 Out: 8502 hour In: 1000 Out: 11004 hour 16006 hour 24008 hour 300012 hour 4400
Which do you prefer?*

IncallOutcall
If Outcall-What city?
Date*

MonthDayYear
Date
Time*

:HourMinutesAM/PM Option
Any Special Requests?
Once you have submitted this form please text 310-299-6929. All appointments without a hobbyist account such as a Private Delights or P411 (must have recent reviews) will be asked for a deposit.
Should be Empty:

Screening Information (Mandatory for all New Clients)