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For incall, I can discreetly book us a room for an additional fee. Outcall is available to upscale hotels and gracious homes.

*The information below is requested of you to assure my safety. If you don’t feel comfortable filling out my form, I won’t be comfortable meeting you. Discretion is always assured; however, legal and binding confidentiality agreements are offered upon request. The information I collect here will be discarded after our date unless you specifically ask me to keep some of it to stay in touch. If you have any questions or concerns feel free to email me at WillowOfTheWorld@gmail.com You may also call me direct at 305-731-2464 between 9am-9pm. After hours leave a message.

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Desired meeting date or a few date options:

City and State where you wish to meet:

Where would you like to meet?:  
other (please specify):
my location



Length of time you wish to spend with me:
What time would you like to meet?:

 

Personal Information

What is your full legal name?:

What is your age or age range?:

What is your occupation title?:

Name of your company?:

Company web address:

Your email:

Your contact number and best time to call:

Phone Etiquette: ?

What city do you reside in?:

Reference (Name of a companion you have previously seen):

What is her name, website and contact information?:

Out of state travel and liasons over 4 hours require a 25-50% deposit. How do you wish to pay?
Paypal
AMEX
Cash or money order by mail
Western Union


COMMENTS OR ADDITIONAL INFORMATION:

How did you hear about Willow?: