Welcome
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Talia Booking Request
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Fetish-Roleplay-Domme
Welcome
Gallery
Considerations
Schedule
Talia Booking Request
Etiquette
F. A. Q.
Reviews
Videos
Wishlist
Fetish-Roleplay-Domme
Talia Booking Request
All information provided is discarded and 100% confidential. Many of my clients are high profile. Confidentiality forms are available upon request. Questions/concerns? info@elitebusty.com
Talia Booking Request
Talia Booking Request Please complete the form to request time together.
Step 1 of 3
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Name
*
First
Last
Email
*
Date of Birth
*
MM
DD
YYYY
City & State of Residence
*
Cell Number
*
Is it ok to send text message?
Yes
No
Email only
Screening Option #1: Companion References
Please provide the name, website address and contact information for at least TWO reputable companions you have spent time with recently. Please include the approximate dates you saw them, and/or a way they may remember you.
Reference #1
Reference #2
Screening Option #2: Employment Screening
Options would be a discrete call and ask for you via your assistant using any name/company you prefer; or call your extension after hours and let it go to voicemail. Alternatively, I do offer a discrete email you can send a work (no gmail or yahoo etc) email to, for verification. This email is the name of a male owned architectural design firm. No contact would be made without prior ok by you.
Company
Position
Company Website
Company Main Phone Number
Your Direct Line or Extension
Screening Option #3: Pre-Screening Service
If you are a member of Preferred411 or Date-Check, please enter your necessary member and verification details below. I may ask for a verification internal pm. Not applicable for board handle, see input info for this below.
Appointment Details
Requested Date
Preferred Time of Day
Duration
1 1/2 Hours
1 Hour
2 Hours
3 Hours
4 Hours
5 Hours
6 Hours
Overnight - 12 Hours
Full Day - 24 Hours
48 Hours
Place and/or Address Where You Would Like to Meet
Screen Name or Board Handle from any Provider-Oriented Website Forum:
Miscellaneous Information
How Did You Find Me?
*
Do you have any special requests or is there anything else you would like to share with me?
Would you like for me to bring a hot girlfriend?
Yes
No
Inquire More
P411 or Date-Check ID
Optional - Upload photo (no nudity)
Drop files here or
Date options (optional suggested fields)
I prefer to visit you at your location when you are hosting
I prefer you to come to my hotel (please advise if key card needed)
I prefer you to visit me at my private residence
I want to meet for drinks, sporting, social or corporate event
I am interested in exploring meeting at a dungeon for a BDSM session
I am interested in a couple session with my wife/girlfriend
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