New Clients

To verify, please fill in all of the information below and submit. Once it is received and reviewed, I will reach out to you directly.

Your Information

FIRST NAME *

LAST NAME *

AGE

I do not discriminate

Email *

Please check for typos- I need this to get back in touch 🙂

Phone

Required for screening purposes

Can I text your above phone number on the day of our meeting?

Yes

City and state of residence

References: Minimum of 1 within the past 18 months

If applicable

P411 or PD handle

If applicable

LinkedIn or link to profile on company website

If applicable

A small deposit is required after you've cleared screening and we've arranged a date and time. What's your preferred option? *

Venmo

CashApp

CashApp and Venmo are preferred, but Amazon GC in store does not leave a paper trail.

How did you find me? *

Photo ID

Maximum file size: 5 MB

In order to verify your account, please upload your photo ID so we can verify your identity.

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