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Our Screening Form (if a topic doesnt apply just put N/A)
Questions marked by * are required.
1. First Name: *
2. Last Name: *
3. Email: *
4. Phone Number and best time to call: *
5. Other handles used: *
6. Are you a member of: *
  • TER
  • P411
  • Adult Fax
  • Erotic Monkey
  • Verify Him
  • Other
7. Please enter your handle here for question 6. *
8. IF you a not a member of any in #6 list a minimum of 3 Current providers Name, Phone Number and website here:(if not insert N/A) *
9. Date of your Meet and Greet with Natasha or Jesse *
10. Location *
11. Please include all all detailed information including resurvations for #10. *