Etalon - Tracey Adams, Chasey Lain Application

Appointment Request

Which XXX Star would you like to see?
(Please select a first and second choice.)

First Choice	Tracey Adams
Second Choice	Teri Weigel

Where would you like to see her?	While on Tour In Her Home City Provide an Large Estate, with all amentities , per my request, will all my demands awarded.
Name of City
*Almost any requests can be met. Most Stars will kindly require reimbursement for travel expenses. Extended hours however are often granted a discount. We do require a 50% deposit and a minimum of 4 hours for the scheduled appointment when travel is involved.

How long would you like your appointment to be? As long as I wish.

Enter 1st Choice Date and Time

Enter 2nd Choice Date and Time

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The Following information is required for all credit card purchases and is processed with the greatest confidentiality.
First Name	Middle Initial (if applicable)	Last Name		Suffix (Jr., Sr., etc.)
Company Name (if applicable)
Address Line 1	Address Line 2 (if applicable)
City	State	Zip

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How should we contact you? You will be able to find me whenever it is time, and arrange a place and location and provide all of my requests at that time, for whatever I ask of you.	Email	(Required)
	Phone	(Required)
	Best time to call you - You will make this so NOW!

The Star you would like to see will want to know a little about you.
The information requested is strictly for the safety of the Stars.
The information you provide will always remain secure and completely confidential.

Your Name

"love"

Your City	Your State
Your Occupation Your Employer Work associated website How did you hear about us? Have you ever used our service in the past? yes no If so, what was the approximate date? Which Star did you see? Please list any special requests, questions or comments you may have in the box provided below. I request Tracey Adams, and Chasey Lain on a continous loving appointment. I also request that you provide for me all that I ask of you, whenever I make a request. <br />it will be provided to me as I make the request. I aslo request additional Women<br />that you will provide when I ask you to.<br />I house of my specifications,food,entertainment and more.. Please be positive that you have provided answers to all questions. Forms that are not complete cannot be processed. After you have confirmed your information to be thorough, just click the submit button and we will get back to you as soon as possible. Thank you