Name:
For security reasons, your companion will ask for a valid photo identification, such as a passport
or driver's license. If you are in a Hotel, it must be your registered name.
This information is kept discreet and confidential.

First: Last:
Address:
Please provide the address where your companion will be meeting you.
This may be your hotel, office, or home.

Street:
Apt or Rm #
City:
State:
Phone:
This is key information. This number either needs to be the Hotel or the residence.
Your companion will call you just before the appointment.
The appointment will NOT take place if she can not reach you.
If you do not know the room number yet, you can tell her on the phone when she calls.

Hotel or Home Number:
Area Code: Number: Extension:
Alternate Number:
Area Code: Number:
Email Address:
We will be happy to also confirm your appointment via email if you give us your address.
Appointment Information:
Not all companions are available all days and times - please be specific to your needs and we will
accomidate you to the best of our ability. You may wish to enter a second choice if exact date
and time are imporent factors in using our service.

Date of Appointment:
Month
Date:

Time:
Length of appointment:
Appointment to see :
choice one:
choice two:
choice two:
Additional Requests or Comments:
Should we not call at certain times? Email only? Are you looking for a lady for a special need? Whatever your special/discretion requests may be they are respected.
Please use this area to assisit us in providing you with the best possible service:
How did you find us:
If you must cancel Appointment for any reason
please provide us with at least a 3 hour notice
Thank you,
AAA Total Entertainment