| | |
| | | | | |
     
       

Please take a moment to fell out booking form that will ensure level of comfort and safety.  False information will result in a loss of your deposit and an inability to meet. All fields are required.

Your information is safe and confidential. Your privacy will never be compromised.

You will be required to show legal identification upon introduction. You will also be required to show one proof of residency, such as resent utility bill with your name on it. This is merely for verification purposes to ensure safety. Your information will not be kept unless you offer it for the purpose of the next meeting.

Please don’t discuss services over the phone or email.


 

Your Information:

Your full name

Occupation title

For what company do you work?

Work phone number

Mobile or alternate phone number

Email address

In what city would you like to meet?

At what address would you like to meet?

How long would you like to spend together?

How would you like to pay your deposit?

Wire transfer
PayPal

How would you like to pay reminder fee?

cash

How did you find Anastasia?

Reference

Anything else I should know?

 
Home | About Anastasia | Interview | Gallery | Donations | Calendar | Reservations |
Member Area | Contact Anastasia | Client comments | Wish list | Links
Copy Right © 2009 www.Anastasiavip.com All Rights Reserved.

Web Designed by Website Design Company