DC/MD/VA  only  
 
NYC         & 

PHILADELPHIA-

HOUSTON-DALLAS

NEW ORLEANS

San Francisco

 

 

please fill up this application booking form to the best of your ability, and after that email to me including request for a booking.

Full Name:

Where are you coming from?
City:
State:
Country:
 
What date/time will you arrive in Washington DC?
What date/time would you request for a date?
How long will the date be?

Background Information
Where do you plan to stay in DC?
Why are you in town in general?
What is you occupation?
How did you hear about me?
(reference advertising agency)
Have you seen any girls I might know? their WEBSITES and CONTACT # Phone 

What is the best way to get in touch with you?
E-Mail:
Phone:
What name should I use when I call?
What should I say when I call your office?
Handle on TBD

Date Check, RS 2000, P411,

Anything you would like to tell me?

 

IN ORDER TO BOOK this is what is needed additionally:

Date check, P411, R2000 if you have it, and it is a discount for Club Membership

2.  REFERENCES FROM 2 ESTABLISHED INDEPENDENTS AND I NEED TO GET THEIR VERIFICATIONS PRIOR THE ACTUAL DATE

or

3.  SUBSCRIBTION TO MY WEBSITE WWW.LAFEMMEDC.COM

or just email me about yourself.


it will keeps me organized and get back to you faster in a professional manner.

Write what you can or copy it and paste in your letter and write free style.

 

La FEMME DC Reservation Form (COPY and PASTE inside of your letter)
Fill the form below and we will get back to you as soon as possible. All fields marked with * are required.
1. Full Name: *
2. E-mail Address: *
3. Address: *
4. Date and Time of Appointment: *
5. City of Appointment: *
6. Name of Business or Employment: *
7. Work Number and Extension: *
8. Title or Position in Company: *
9. Cell Number: *
10. Home Number: *
11. Age: *
12. Height: *
13. Weight: *
14. Hair Color: *
15. Other Distinguishable Features or Disabilities:
16. Verification Services That You're A Member Of/Member IDs:
17. References: Other Porn Stars/Famous Escorts You've Had Appointments With (if you booked thru agency put agency info): * boards handles etc
18. Comments, Questions, or Special Requests?
Please submit as much information as possible:)

 

  I am listed on PAMELA PEAKS AGENCY in Los ANgeles

 
 

 

                 

 
 

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