Date Request

...Date Request

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If you would like to request to see me, please fill out the Date Request Form below completely. While the FORM itself is not required, the content is before we meet for the first time, for our discretion and my safety and security. The form below is provided for your convenience and is my preferred method of receiving appointment inquiries. If you prefer to send the same info in an e-mail to me at wendy@nym.hush.com that is great too! I limit my appointments and before I commit to spending time with someone I haven't met, I need to feel good about the date. Whether you have a specific date and time in mind, or just know you would like to meet me at some point, please provide the info requested. This info starts my verification and appointment process IF the form is complete. My time is intended for discerning, successful gentlemen. After agreeing to a meet, (with or without a specific date in mind) I will send you a link to my optional Private First Date Form so I can better know you, your likes and dislikes in a lady as well as any your fun desires you would like to share so that I can best be prepared for you. Any and all information that I learn of you now or throughout the course of getting to know each other will be kept in the highest of confidence. Confidentiality and discretion are my highest priorities when planning an unforgettable time together. If you are not ready to schedule time with me yet but have questions, please Contact Me at this link.

Contact Information

Full (First and Last) Name:

Business Name or Place of Employment/City and State

Business phone number where I will reach your secretary or an operator, and an extension. NOT a direct line

Best Phone number to contact you at after verification:

Note if cell, home or business phone number

E-mail Address:

Please re-enter e-mail

Please give me specific "alias" contact info, otherwise I will ask for you as "Wendy from Northwestern University, returning your call"

I accept RS2000, P411 or Date Check for verification in lieu of my personal verification.

Escort Verification; Three previous and recent Escorts you have seen. Include Name, Phone, When you last saw her and Where and agency affiliation, if any. If you do not have three references, list what you have and if I am able to get good vibes back from someone known that could work too.

NOTE: PLEASE tell me WHEN and the SPECIFIC location such as what hotel etc that you saw her. Just listing a name of a lady does not help me AT ALL as almost ALL reputable lady will not tell me ANYTHING if I don't know those specifics. Many ladies only know client first names and unless you provide the above requested information about your last visit they cannot reliably verify anyone.

Escort Reference 1

Escort Reference 2

Escort Reference 3

Where would you like to meet and spend our time together?

Please type in amount of time reqested

Please select gift amount for date from drop down or select "Other" and type in amount from my Rates page.

* required

Fill

(Required) Please select the date that you would like to see me at right and type your ideal time(s) below. Be sure to select month, date and year

* required

Payment Type

(Required) Where you found me and if on a member based site such as TER or TBD, what is your alias there?

* required

Comments or Special Requests.

(Please use this space to let me know if you have any special personal or physical issues I should know about before we meet):

Space Filler

My rates are for my time as an Escort. No fees or tips of any kind will be quoted, negotiated, assessed, or collected in exchange for any sexual conduct, only for my time. Any suggestion here of such contact must be and will be ignored.