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Who do you wish to see? If you have a second, third,,, choice list them as well.
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*What type of meeting do you want?
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*Meeting Location: place, City, state
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*Meeting Date and Time
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*Length of time of our appointment
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*First Name
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*Last Name
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*Birth Date 00/00/0000
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*Primary Phone
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*Work Phone
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*Home City and State
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*Email Address
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*Your height and weight
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*your hair and eye color?
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*Occupation
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*Name of employer
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*Employer City and State
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Employer Website please post full URL including http://
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*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)
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*Provider Reference 1 Name:
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*Provider Reference 1: Location City,State
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*Provider Reference 1 website: Please include full url
include http://
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*Provider Reference 1 Email address
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*Provider Reference 1 Phone Number
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*Provider Reference 1: Meeting Date(s) to help refresh
her memory
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*Provider Reference 1: additional info (name she knows
you by, special circumstances, etc....)
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*Provider Reference 2 Name:
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*Provider Reference 2: Location City,State
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*Provider Reference 2 website: Please include full url
include http://
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*Provider Reference 2 Email address
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*Provider Reference 2 Phone Number
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*Provider Reference 2 Meeting Date(s) to help refresh
her memory:
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*Provider Reference 2: additional info (name she knows
you by, special circumstances, etc....)
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*Were we referred to you by a client or did you find us
online?
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BluegrassBabes
The Erotic Review TER
Big Doggie TBD
Room Service 2000
Southern Shots/ DBatesPhoto
Google
Yahoo
other Board
other Search Engine
Other
Client
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TBD Username?
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TER username
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Room Service 2000?
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Check here if you are a Fantasy Member
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Yes I am a Fantasy Member
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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
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*I have read the Rules and agree to abide by them.
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