Screening

* Required Field

A LITTLE BIT ABOUT YOU (required field)

Name: *
Email Address and or phn number: *
City: *
Desired time/length: *
In or Outcall: *
incall
outcall
If outcall where to?

YOU ONLY NEED TO SUBMIT TWO VERIFICATION METHODS TO COMPLETE SCREENING. Choose 2 from the 5 options below....

Photo Id

DL/ passport/ID card:

Work identification (choose one)

Work badge:
Business card:
Website:
paycheck stub:

SOCIAL MEDIA ACCOUNT (choose one)

LinkdIn:
Facebook:
Instagram:

Provider reference 1 (fill out to the best of your knowledge)

Name:
website:
phone number:
email:
where did you see her ad?
Date of interaction:
what name and contact info does she have for you:
Any other details that you would like to include that will help her to verify you:

Provider reference 2

Name:
Website:
phone number:
Email:
Where did you see her ad?
What name and contact info does she have for you?
Any other details you would like to include to help her to verify you:

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 gentlemen 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.