VERIFICATION
ALL INFORMATION MUST BE TRUE AND ACCURATE.  YOUR PRIVACY IS OF THE UTMOST IMPORTANCE TO ME AND WILL BE RESPECTED AND PROTECTED.  ALL INFORMATION GIVEN WILL BE DESTROYED UPON VERIFICATION.
Job verification only needed if you do not have provider references.  If this is the case then I will call your work and ask for you on an incoming private line and I MUST speak to you directly.  I will simply be a colleague calling to discuss business. 
Full Legal Name (Must match Identification upon arrival of first meet)
Mobile Number
What Can I Do For You?
City & State (Current Residence)
Email Address
Date of Birth
Reference #1 (Well established provider you have seen in last 6 months) Include name, email, phone number & Ad location.
Reference #2 (Well established provider you have seen in last 6 months.) Include name, email, phone number & Ad location.
Where you located my advertisement
Desired Date & Time for booking
Length of Time, Outcall/Incall & Location (City) for booking
Job Title/Company, Main switchboard number & Best time to call for verification. **ONLY TO BE FILLED OUT IF NO PROVIDER REFERENCES**
Favorite drink (spirit, wine or anything else) & favorite fruit or snack.
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