Hello new friend! I hope that we get to meet soon and have an amazing time. Did I mention I am so happy you have chosen to see me in this sea of gorgeous and amazing women out there? My goal is for us both to enjoy our time together and leave with an amazing experience that we will both on the reflect upon for a long time to come. In order to ensure we are a good match, please provide the following information in my reservation form:

Full Name
Number
Email
City and State
How you found me?
Anything you think I should know/
tell me a bit about yourself...
When were you looking to connect?
Requested Date  
Requested Time  
Requested Length
Location
Memberships/Handles you have:
P411
TER
Date-Check
RS2000
Other
Provider references that you have seen recently seen:
Provider Reference 1
Name
Email
Website
Provider Reference 2
Name
Email
Website
Should you not have any references, a work verification is another option:
- A copy of your driver's license
- A copy of your business card
- A company website link where you are clearly listed
- An email from your work email address
- Specific instructions on how to verify you through contacting your place of work
Enter No-Spam Code


I value your discretion as much as I value mine. If there are specific details about our communications please don't hesitate to let me know.

If you have any issues filling out my reservation form, you can also email me all of the information required to: bookjessicascott@gmail.com  
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