Thank your taking the time to fill out my Reservation Form.

PLEASE NOTE: There is a screening process for all first-time Clients/Hobbyists in the interest of a mutually safe and comfortable experience. This info is used for screening only. After you submit your information it will be sent DIRECTLY to me. No worries about your info being shared.

Due to my busy but somewhat flexible schedule, verification for new clients may take anywhere from 1 to 3 hours so please be patient. I promise to be worth the wait. After I have verified all your information a final confirmation will be made by phone or email.

You may leave me a message at 972-275-6712, International 1-888-659-6614
or in the UK +075 803 04579

If you have any questions, please email: ReserveAnna@gmail.com

$100 deposit is required for all bookings! Deposits can be made through my website with Visa/MasterCard or Paypal!  

If you would like to make your deposit online Click Here

My screening process is very simple and I have 3 options you can choose from.

OPTION 1:  I accept verified members of the following sites: TER Whitelist, Date-Check, Roomservice2000.

OPTION 2:  I accept references from legit providers you have seen in the past but must not be over 5 months. Please include their phone number, email or a link to the providers website or ad.

OPTION 3:  Please provide me with your employment information, companies website address or job number and extension. As I said previously my screening process is very discreet.


All information you provide is safe and confidential. Please remember, discretion on both ends must be equally respected. Remember, I'm simply trying to protect myself....... I reserve the right to decline any appointment and refund any money I deem necessary. I do not practice cold calling or email solicitation. I will never contact you unless you request me to, and only in the manner and times requested. Please try to email me unless we must urgently connect by phone.

Site Policies (Click Here)

PLEASE NOTE: Confidentiality Agreements are available!


Your Info


Full Name:


Email:


Contact Number:


Occupation:


Age:


Company Name:


Company Number:


City,State,Country of Residence:





Appointment Info


Date:

    2011
Time:

 
City/Country of Appt:


Package Request:


Location:

Incall   Outcall
Deposit Method:


Method of Balance Payment:

Credit Card   Cash



Screening Option 1

Verified member of TER Whitelist, Date-Check, Rs2K
Member Handle:





Screening Option 2

Provider reference, number or website/Ad
Reference Name:


Phone Number:


Website/Ad URL:





Screening Option 3

Employment Website, Direct Extension
Website:


Direct Extension:





Special Concerns
or Requests:





How should I contact you?:

Work #:   Cell #:
Best Time to Call:

How did you find me?




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