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Booking Request Form

'); document.write('Hello! This form is the most efficient way to book time with me. I also accept P411 and RS2K appointment requests.'); document.write(''); document.write('Please double check my rate by desired location and be sure you are familiar with my TERMS OF ENGAGEMENT which you are agreeing to when we confirm our plans. Submission of this form is not a promise or a confirmation. It is my goal-oriented way of simplifying the booking process - the first of many mutually beneficial exxxchanges. '); document.write(''); document.write('Please complete both the scheduling details, and the screening option that works best for you, then click \"Submit Form\" complete the Captcha and click \"Submit\". This will trigger a \"Thank you\" landing page with a nude pix of me. If you do not get that page it may not have sent properly. (If we are already well met and you are using the same email and phone number as previously you can skip the screening and just submit the scheduling details.) I will be happy to get back to you.'); document.write(''); document.write('Please do NOT use the defaults, please send the actual time, date and length of session you desire.'); document.write(''); document.write('Please give me as much notice as possible. I will always do whatever I can, but i am rarely available for short notice or even same day requests. '); document.write(''); document.write('You may email the info requested directly if you encounter any problems with the form, or do not wish to use it. '); document.write(''); document.write('You may also call me prepared with this information, however, this is not recommended. It is not as discreet and timing could be a problem. '); document.write(''); document.write(''); document.write('danielle.lilly@gmail.com'); document.write('

I would like to book time with: *
Desired Time: *
Desired City: *
Desired Length of Encounter: *
Incall/Outcall Preference *
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