VIP Membership

My private website is a paid site where VIP Members can access my more intimate and personal photos, videos, blogs, podcasts, and private social media pages. Members of my private website will also get special rates and other features only available to VIP Members.

You must fill out this application form to be approved for access. VIP access is limited to current or former clients planning a future appointment.

*This will NOT be a porn type of site. If that's what you're looking for, then this website is not for you.*

Your Information

Full Real Name (with middle initial): *

Email: *

City: *

State: *

Twitter Handle(if you have one):

Have you booked a date with me before? *

Yes

No

If I haven't seen you before, then I need some way to verify you. Please list something that I can use to verify you(employer, occupation, social media, etc.): *

When signing up to be a member, which would be most important to you? *

Tell me why you want access to my private website and what you expect. *

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