CONTACT INFORMATION:
586-997-7506/voice mail only/24-7
Use the form below to submit your reservation information by email:
Name:
Emergency Contact Number:
Email Address:
In the box below, please provide 2-3 references. Info. needed includes: lady's name + link to either her web site/reviews/or latest ad + city/month you met her in. If you feel like adding more info. as to how she'd remember you, then please do. Thank you.
Where did you find out about me:
Date-Check
, TER, TBD,
P411
,
RS2K
, ECCIE, etc.
City you're From:
Appointment City:
City you're inquiring meeting in.
Appointment Date:
Date(s) you are interested in.
Approx. Appointment Time:
Provide a specific time or timeframe for your appointment.
How do I contact You:
Please Select
By Telephone
By Email
Both Email & Telephone
Phone/email? If phone, give timeframes to call and if it's okay to leave a message.
Comments:
Use arrows to scroll window above.
