Arrange Time with Christine

Date-Check Verified Entertainer

It is a requirement for all new patrons to complete my Booking Request Form. It is understood that the information shared is of a personal and confidential nature and it is handled accordingly. Your information is 100% secure and used only for my personal screening decisions and verification. I discard all information after this purpose is served. Your need for privacy is understood and respected but my personal safety is my priority. Therefore, I cannot see anyone who will not provide the requested information. I will require identification, when we meet which must match the information that you submit or I will terminate the appointment. Please contact me if you have further questions or concerns and I will be happy to discuss it with you.

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New Patrons

APPOINTMENT INFORMATION
SHORT FORM FOR EXISTING PATRONS BELOW   (click here)
Requested City for Appt:
Desired Appointment Length and Theme:
Experience: Traditional Grecian (Greek)
Desired Date/Time of
Day for Appointment:
Location of Appointment:
Your Hotel - name of hotel
Your Residence
Other - please specify

 
PERSONAL INFORMATION
Full Name:
Physical Description:
Age, Race, Height, Weight, etc. Not required
City & State of Residence:
Occupation:
Full Name of Company:
Company Phone Number:

Mainline - Include your extension or manner in which to discreetly ask for you - no cell phones
E-mail Address:
Contact Phone Number & Best Time to Call:
Name and Contact Info for Companion You've Seen:
Please include web site or Ad Address.
If you don't have provider references, please consider using Date-Check!
Comments or Additional Information:
Where Did You Find Me?
e.g. eros.com; cityvibe.com
I ACKNOWLEDGE: All monies and/or gifts exchanged are for time and companionship ONLY and do not state or imply an offer of prostitution. Anything that may or may not happen during our time together is simply between two consenting adults of legal age.
Yes
<-- REQUIRED


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Returning Patrons

Full Name or Name by which I know you :
E-mail Address:
Contact Phone Number
Location and Approximate Date of Last Visit with Me:
Experience: Traditional Grecian (Greek)
Desired Date/Time/Location You Wish to See Me:
Desired Length of Appt:
Comments or Additional Information:
I ACKNOWLEDGE: All monies and/or gifts exchanged are for time and companionship ONLY and there is no offer of prostitution.
Yes <-- REQUIRED