Appointment Request

I will verify your membership on these verification services, so if you are not already a member please use the standard form or if you're interested in joining room service click here I will deduct the registration fee on my honorarium.
For date-check and preferred411 I leave it up to my discretion to request more information if I feel it necessary.

Member form
*Room service 2000 member :
Date-check member if yes
*Email address
*Your home city and state
*Mobile
Handle (web site/board name)
*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 i non-explicit or
the request will be delete)
  Please make a selection.