CurvyBea

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The information I am asking is used strictly to ensure my safety and to verify your identity.

Screening for new introductions takes up to 24 hours depending on information provided.

The more information you provide, the sooner our appointment can be arranged.

I will respond back to you requesting additional information for screening.

All information will be kept confidential and will be deleted 48 hours after submission.

* Required Field

Appointment Information

Date / Time of Appointment

Appointment Type

Outcall Virtual / Online Incall

Outcall Appointment Location

Length of Outcall or Incall appointment

About You - Required for All Appointments

Full Legal Name *

Month and Year of Birth *

State or Zip code of Residence *

Email Address *

Cell Phone Number *

Can you receive SMS / Text Messages?? *

YES NO

Additional Optional Information that can expedite screening

TER Username (whitelist preferred)

P411 Members - Link to view profile ( 2 or more ok's preferred)

Name, website/email address of 2 or more companions you have visited in the last 18 months that are willing to provide you a reference

Private Delights Username (reviews with companion responses preferred)

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