Please make sure that you fill out all these information fields so that I can quickly verify you and we can start planning our date. Please note that in order for both of us to be safe, I MUST have two provider references. If you cannot supply two verifiable references then I will not be able to make a date with you. Also, it's helpful if you can alert those providers that I will be in touch with them... Leah
Full Name
*
Company Name
*
I will only use this number to verify your employement.
Main Reception Phone #
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Job Title
Email Address
*
Note, I will NEVER call this number unless you request/authorize me to in order to facilitate our date.
Mobile Phone #
*
Please make sure to enter contact information for BOTH provider references in the section below.
1st Provider Reference Name
*
1st Provider Reference Website
*
1st Provider Reference Contact
2nd Provider Reference Name
*
2nd Provider Reference Website
*
2nd Provider Reference Contact
Below, please fill out the dates & times that you would like to share with me. I will do my best to make our schedules mesh. Please note that I never take same day appointments. All dates with me must be scheduled at least 24 to 48 hours in advance to allow enough time to verify you.
First Choice Meeting Date
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First Choice Meeting Time
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Second Choice Meeting Date
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Second Choice Meeting Time
Desired Length of Date
*
1 Hour
1.5 Hours
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Special Requests
Use this space to tell me any special requests such as attire that you might like.
As you may have already guessed there will be nothing ordinary about the time we spend together….unless of course, you request ordinary. I want nothing more than to rock your world so help me out by giving me some direction around your personal desires.
I would like...
I would like to be in complete control during our rendezvous
I would like to just let things happen naturally once we are together
I'd love it if you'd take charge Leah
I like it a little bit rough, you naughty girl
I enjoy being told what to do & how to do it
So please don't hesitate to give me a glimpse into who you are and what you're about. Playful, quiet, serious, adventuresome... I like it all and I feel we'll have a better time together if we know a bit more about each other.
About Me...
Use this space to tell me more about you and what you like best.
