Phone Number *
Phone Number
Name *
The city & state you reside in?
Provider reference
An acceptable provider reference would be a girl you've seen within the last 6 months, who has all legitamit ads, website, & reviews. If you don't have references you MUST provide a photo ID AND be verified through a reputable site. P411, TER, Eccie.
phone number AND website or link to reviews

Verification Application

I would prefer that you send a verification application but you can skip it & mail me a picture of you holding your photo ID, along with a clear photo of ID. P411 Members may skip by clicking here to send me a message directly. All information will be reviewed as soon as I receive it within 24 hours of submission. Please feel free to get pre-screened.

Screening is absolutely non-negotiable.