APPOINTMENT REQUEST

For a quick response text us:
224 252-1390

If you'd like to see one of our Companions fill out this form completely.


YOUR RS-AVS/RS2K MEMBER INFORMATION:
Your Name:
Your Phone:
Your City:
IF YOU ARE NOT AN RS-AVS/RS2K MEMBER -
YOUR CONTACT INFORMATION:
Your Name:
Your Age:
City/State you reside in:
Your Email:
Your Phone:
Accept SMS/Text:

APPOINTMENT DETAILS:
Companion you wish to see:
Preferred Date/Time:
Preferred Location:
Outcall Location:
Sesion Length:
Traveler to this Area:

Special Requests: