Independent Escort Reference
First Name*
Last Name*
Fill out the email field below. All regular email correspondence will be conducted using this email. If you prefer communicating via phone, fill in that field as well.
Correspondence Email*
Correspondence Phone Number*
Your Contact Information you used with her*
Any discreet pertinent details to help your references remember you for verification purposes
Name of Escort*
Email Address of Escort*
Phone Number of Escort*
Website or Ad URL of Escort*
What City you saw her in*
Date you saw her last*
ID* - 5MB file limit
Kindly attach a copy of your ID. We do respect your privacy and handle your information with care and discretion. It is used only for screening purposes and is promptly discarded once verified.
