CANDY MANSON RESERVATION FORM
Questions marked by * are required.
1.	Full Name: *
2.	E-mail Address: *
3.	Address: *
4.	Date and Time of Appointment: *
5.	City of Appointment: *
6.	Name of Business or Employment: *
7.	Work Number and Extension: *
8.	Title or Position in Company: *
9.	Cell Number: *
10.	Home Number:
11.	Age: *
12.	Height: *
13.	Weight: *
14.	Hair Color: *
15.	Other distinguishable features:
16.	References--Other Porn Stars/Famous Escorts you have had appointments with: *
17.	Any comments, questions or special requests?