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Webmaster: Webmaster@HeelsForHire.com Contact regarding issues with the site

General Information: info@heelsforhire.comContact regarding all other concerns

You must be pre-approved by using the Verification form or other means to book an appointment

Our verification process normally takes 24 hours for completion, inaccurate submittals or incomplete data will only delay your verification. Verifications requested after 2PM ET on Fridays or holidays will be processed the following business day. Once you have been verified you do not need to use this form.

If you can not or choose not to fill in a block marked by * state NA or your form will not be submitted.

*Who would you like to book?	Bridget Angel Carrie Deena	Jennifer Ashley Shianna other
Our Roster changes often and some ladies are not always available. If we have recently added a new lady please check other above and list her here. Also if you are willing to see one of our other lovely ladies in case your favorite is unavailable please list any alternatives in order of preference:If you do not want to choose an alternate leave this blank
*What type of meeting do you want?	Incall Outcall Limo unsure or doesn't matter
*Meeting Location: place, City, state
*Meeting Date and Time
*Length of time of our appointment
*First Name
*Last Name
*Birth Date 00/00/0000
*Primary Phone
*Work Phone
*Home City and State
*Email Address
*Your height and weight
*your hair and eye color?
*Occupation
*Name of employer
*Employer City and State
Employer Website please post full URL
*Contact Instructions: How would you like us to contact you? Do you want us to use a cover story? EG: Hi, I am (code name you list) I am (your name)'s insurance agent needing to talk to (your name)
*Provider Reference 1 Name:
*Provider Reference 1: Location City,State <br>
*Provider Reference 1 website: Please include full url
*Provider Reference 1 Email address
*Provider Reference 1 Phone Number
*Provider Reference 1: Meeting Date(s) to help refresh her memory
*Provider Reference 1: additional info (name she knows you by, special circumstances, etc....)
*Provider Reference 2 Name:
*Provider Reference 2: Location City,State
*Provider Reference 2 website: Please include full url
*Provider Reference 2 Email address
*Provider Reference 2 Phone Number
*Provider Reference 2 Meeting Date(s) to help refresh her memory:
*Provider Reference 2: additional info (name she knows you by, special circumstances, etc....)
*Were we referred to you by a client or did you find us online? ?	BluegrassBabes The Erotic Review TER Big Doggie TBD Room Service 2000 Southern Shots/ DBatesPhoto Google Yahoo other Board other Search Engine Other Client
TBD Username?
TER username
Room Service 2000?
Check here if you are a Fantasy Member	Yes I am a Fantasy Member
If you were referred by a client or found us some other way please list it here. If you found us on a site not listed please put in the full url
	*I have read the Rules and agree to abide by them.

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