For my time:

1 Hour 1000

1 1/2 Hours 1400

2 Hours 2400

3 Hours 3400

Please take a moment to introduce yourself. For a safe and pleasant meeting, all appointments are subject to verification before our rendezvous. Your privacy, along with my safety, is an absolute priority. The information you give me will remain confidential and is for security purposes only. After our rendezvous I discard all the information you have given me. I will only save a contact number or e-mail that you choose to give me for future communication. You are not required to have references. You will need to upload a photo of yourself. Include your employment reference in the provider reference box. Thank You for taking the time to ensure your safety, as well as mine. Love VLH *(denotes required field)

* indicates required field

First Name:*

Last Name:*

Email:*

City of Residence:*

Age:

Occupation:*

Phone Number:*

Preferred Method of Contact:*

Email Only
Phone Call
Either Email or Phone.

Date You Would Like to Meet:*

Time You Would Like to Meet:*

Place You Would Like to Meet:*

My Place
Your Hotel
Your Residence.

Duration of Our Date:*

1 Hr + 1 1/2 Hr + 2 Hr + 3 Hr + 4 Hr Dinner 8 Hr Overnight.

Provider Reference #1:

Providers Website Or Ad Link

Date You Have Seen A Provider?

Any Info That Will Make It Easier For Provider To Remember You

Provider Reference #2:

Providers Website Or Ad Link

Date You Seen Provider

Any Info That Will Make It Easier For Provider To Remember You

Review Boards You Are A Member Of:

TER
Humanaplex
Eccie
Myredbook
TNA Board
Preferred 411
Other.

Board Usernames & Place you saw my ad:

Tell Me A Little About Yourself*

To Get Verified, Send Me A Pic Of Yourself, You Can Attach One Below

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

CAPTCHA Code:*