New Appointment Request
While I understand that some gentlemen are reluctant to provide information about themselves, please rest assured that privacy and discretion are very important to me. All information will be kept strictly confidential and discarded

If you cannot provide all the information below (expecting those fields marked (optional), I regretfully will not be able to meet with you. Your understanding is much appreciated. Roomservice 200 members enjoy faster verification, so if you'd like to join please click here

New member form
*Email address
*Your home city and state
*Mobile
Handle (web site/board name)
*Your company or employer
If self employed please specify the type of work
*Position or title
*Your company's city & state
*Your company's main number or number use for
self employed person Work number including extension
*Where you would like to meet
*Date and time and length of the Rendezvous

Reference of well known independent lady (no agency) you have seen in the past 6month
Name of Lady
Web site & Contact
Where Did you find me
Anything that you would like to know
Clothing preference
Your Dislikes (please keep it non-explicit or
the request will be delete)
  Please make a selection.