Appointment Request Form
Please be sure to include all the information requested below so that we can confirm you appointment!

DO NOT USE THIS FORM UNLESS BOOKING 48 HOURS IN ADVANCE
 PLEASE CALL THE OFFICE FOR APPOINTMENTS ANY SOONER THAN THAT

 THANKS... BDJ STAFF
Please fill out this confidential form completely if you are ready to book an appointment.

We will be contacting you to verify the information you provide
as well as obtain payment information.

Name:
For security reasons, your companion will ask for a valid photo identification, such as a passport or driver's license. Please make sure the name you provide us matches the name as it appears on your personal id. This information is kept discreet and confidential.
First: Last:
Business:
For verification purposes please provide:
Company Name:
Occupation:
Business Phone: Area Code: Number: Extension:
Cell Phone: Area Code: Number: Do you text message?  Yes No
Email Address:
We will be happy to also confirm your appointment via email if you give us your address.
Appointment Information:
Not all ladies 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:

Lady to see : choice one:
Lady to see : 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:



Important info.. When booking a date with a BDJgirl,
please be sure of the time you want to see one of the girls..
ANY NO SHOWS WILL RESULT IN A 75.00 RE-BOOKING FEE ON TOP OF ANY OF THE GIRLS HOURLY RATE IF YOU INTEND ON BOOKING IN THE FUTURE.
Please give us @ least 1 hour notice of a change in time, day, or a cancel ..otherwise if not done in a timely manner... same fee above applies.


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