Professional Dallas Companion
  • 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:
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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