Professional Dallas Companion
About
FAQ
Packages
Reservations
New Friends:
All fields marked
*
are
required
.
Established Friends:
Established friends
do not
need to fill out the reservations sheet. In fact, I prefer that established friends simply contact me via email ().
*
First Name:
*
Last Name:
*
Date of Birth:
*
City, State, and Country of Residence:
*
Email Address Where I Can Contact You:
*
Telephone Number Where I Can Contact You:
*
Best Time to Call You:
*
--- Only ONE of the following three options is required (although you may respond to more than one if you wish). ---
Option 1: Employer Name and Phone Number (or Website):
Option 2: Names and contact information of at least THREE other providers you have seen AND the approximate date you saw them:
Option 3:
Preferred 411
or
Date-Check
ID:
--------------------------
Screen names/handles on any provider-oriented forums (ASPD, TER, AHC, etc.):
*
Requested Date of Appointment:
*
Requested Time of Appointment:
*
Requested Length of Appointment:
1.5 hours ($450)
2 hours ($600)
3 hour dinner date ($900)
4 hour leisurely dinner date ($1200)
5 hour dinner and dessert ($1500)
*
Address in Dallas where you would like me to meet you (please indicate if this is your home, hotel, or other location -- and remember I am
outcall only
):
Any questions, comments, or special requests?
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Copyright Carrie Hillcrest, 2008