Bookings Checkout | freya-fantasia

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APPOINTMENT REQUEST FORM
CAN'T SUBMIT?
Required fields (indicated with an "*") must be completed before you can submit your request. If your form won't send, make sure you filled out the required items.
NO PHONE NUMBER?
If you choose not to give me your phone number during screening, please don't text me on the day of our meeting. I'll be checking for your messages and might not see your text among many without your name attached to your text.
NO REFERENCES?
Without references, you will need to provide a copy of your ID, a selfie, and either prepay a discounted rate or pay a deposit plus cash in person.
BOOKING ON TOUR?
On tour, either a deposit plus cash a or discounted prepayment is required from everyone (check rates page). Payments are made on venmo or cash app. A deposit only can also be paid on amazon.

Are you a P411 member, or have we met before? P411, send a P411 appointment request or send a P411 private message. If we have met, just email or text me with the day and time you'd like to meet.

First Name

Last Name

Phone Number, if not given, I might not notice your text if you text me.

Email Address (IMPORTANT: Double check for correct spelling)

Your Age Range

Okay to call or text? I will try to accommodate your request, but discrection is YOUR responsibility. There are apps available that will give you a secret number you ave to log in to use.

Select a date. If you are flexible, unsure, or just want to be pre-screened, just let me know in the notes at the bottom of the page in the comments section.

Desired Start Time. I'm normally available 10 am (11 am preferred) to 10 pm 365 days a year. Prebooking recommended. I'm often not availabe for same day appointments. My tour my schedule ipoints often full before I arrive.

Amount of time: There are two payment options, prepay for a discount, or pay cash in person. There is a deposit required with the cash otion for: everyone on tour, less than two references, longer than 2 hours, or other possible reasons.

Do you want to pay a discounted and nonrefundable rate, or pay cash in person? A deposit is required for everyone on tour, for less than two references, more than 2 hours, other possible reasons

Which city do you want to meet in? NO SUBURBS OR NICKNAMES, PLEASE. Tour cities by name, Chicagoland, Wisconsin cities, or another for fly me to you.

Other City

Screening info: Here you might list P411 ID or RS2K, TER or Private Delights handle ONLY if you have reviews or Whitelistings, If you don't have any of those, please list two provider references in the next sections. If you don't have references either, just complete what you can. We will advise you. Deposit, ID, and selfie required for less than 2 references.

Provider #1 (Must have at least 15 reviews. We can check if you're not sure)

Provider #1 Contact Information

Provider #2

Provider #2 Contact Information

After you complete screening and booking with Daphne, you can request a 5 minute phone call if you'd like. Just let me know once you are finished working with Daphne. Will you be requesting a phone call?

What Interests You? (See entertainment ides page). Check all that apply. You can elaborate in the comments. There are special instructions for actvities with an astrik. Ask the booking agent about them!

Traditional GFE

Tantra

*BDSM

*Role Play

Photos and Video

*Bring my significant other

*Multiple female providers

Another man/male provider (girl-boy-boy)

Swingers Club (special rates)

Learn about Viagra

*Learn about mind-altering experiences

**Travel with me/fly me to you

Wardrobe request

COMMENTS: Is there anything else you'd like to tell me? NOTHING LEWD OR SEXUAL, PLEASE.

Will you help me with aderising by telling me which sites you usually use to find a provider?

P411

TER

EROS

Private Delights

Slixa

Tryst

Other

If you use other sites to find providers, which do you use?

I accept terms & conditions

Thanks for submitting your appointment request! If you don't hear back from me within 24 hours, please contact me. I look forward to seeing you soon!