Maria Exotic

Screening

Deposits are non-refundable. If you cancel within 24 hours 50% of original appointment. If I cancel, you will be refunded within 24 hours.

Strict no review policy. I value discretion and most importantly, so do my guest. I do not provide references. Thank you

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About You

Full Name *

Where did you see my advertisement? *

Introduction ( a little about yourself if you like)

Email *

Number *

Have you been diagnosed with hsv2 or genital warts? If so, what is your current treatment? *

Zodiac sign *

Favorite color *

Appointment Request

What date and time did you want to meet? *

How long did you want to hang out for? *

What you are interested in during our time together? *

How would you like to send your 30% deposit to reserve time? Remainder in person, cash only. *

Reference info

Previous provider, agency or amp you have visited? Please include number, email or website. *

Are you a member of any provider review board’s?(e.g., ter, erotic monkey, tnaboard,bestgfe,eccie,amp reviews,usaS) If yes, username? This may speed up screening. *

I am aware of your no review policy. (For my discretion and my clients privacy) *

Thank you for filling out the screening form. Would you like me to contact you for an appointment? *

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Screening

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