Let's Meet

First Name

Last Name

Birthday

Month

Day

Year

Height

Weight

Occupation

Phone

Are You a P411 Member? ( If Yes, Enter Your Username )

Tell Me About Yourself

How Did You Find Me?

When we meet, would you like my makeup to be full glam, or should I let my freckles shine?

Full glam please! Show me your freckles baby! A little in the middle, girl next door

Any Special Requests?

Please Select

Individual Couple

Your selection was: Individual

Please press the Next button to continue.

What is Your Partner's Name?

What is Their Birthday?

List Their Occupation

Tell Me About Them....

Preferred Location

Charlie's Incall My Hotel My Home

Requested Date

Time

City

State

Two recent industry references you've seen in the last 6 months (email and website).

Work email and LinkedIn link

Photo of your State Photo ID (you're welcome to cover your address, please be sure your name is visible).

Acceptance

Click here if you acknowledge that a 20% deposit is required prior to meeting and you also acknowledge that I travel with my two small dogs Marlee and Wudy.

How Much Time Do You Want to Spend With Me?

Let's Meet

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