EmailMe Form - DISCREET RSVP FORM

Have we met before? *

Yes

Not yet

Your Full Name [as shown on your Gov issued ID] *

Physical Description [include your age, height, weight, race, etc] *

Feel free to upload a photo of yourself [optional]

Occupation *

Employer *

Email *

Contact number

Which Honeymoon Fantasy Experience piques your interest? *

Tender Kisses [1 Hour] - $400

Island Breeze [1.5 Hours] - $600

Garden of Eden [2 Hours] - $800

Perfect Pairing [Couples] - $850

Heaven on Earth [3 Hour Signature Exp] - $1000

Daydream Come True [Dinner & Nightcap] - $1500

Cupid’s Arrow [12 Hours] - $2.500

Chamber of Secrets [24 Hours] - $4.000

Do you prefer *

Hosting/My Place

Outcall/Your Place

Where would you like to meet? *

How will you be presenting your gift? *

Cash

Credit [add'l 10% applicable, discreet billing]

Date & time you'd like to meet [2 options please] *

Your P411, TER, Date-Check, TBD, or RS2K Member Info IF APPLICABLE

Please tell me if you have health concerns or disabilities I should be aware of. I will NOT discriminate based on your response.

Your expectations of our time together/something special about yourself [non graphic please]

How did you find me/where did you see my ad? *