Gia FoXXX Reservation Form

Fields with an asterisk (*) are required. The reservation form is only seen by me and will be answered promptly....thank you!

*Your E-mail Address (must be entered correctly)
*How were you referred? Name of website, or search engine?
*Full Name
*Age (must be over 35)
*Contact numbers (i.e. Cell Phone, and work (home is not required, but you can put it in if you would like.)
*Name of Company you work for? If you are self-employed, a working number for your business that is listed.
*Work # as listed in the directory? I do verify the number with information, so please give # and the area I can find it with information.
*Location (I only provide outcall to you)
MONTH DATE... Plus THE TIME you would like to meet. My hours are 6pm to 1am, unless it is an overnight (of course) I really prefer evening appointments, but will do afternoons.
*How LONG would you like your appointment for?
Have you seen another escort?
If you answered "Yes" to the question above, please supply working e-mail below
and her website link below:
Having a referral from another known providerdefinately speeds up the verification process!
Message for Gia, please be discreet.

 

Before you submit this form, you must read
and agree to the terms below.

I get alot of emails, and I am more than happy to reply to each and everyone, but please do NOT email me with any vulgar language or inappropriate requests. Being in the adult business does NOT mean that you can't be first class, because I am and only will correspond with gentlemen who feel the same way..thank you for being that way with me...hugs Gia

Money exchanged for legal adult personal services or for modeling is simply for my time and companionship. Anything else that may or may not occur is a matter of personal choice and preference between two or more consenting adults of legal age and is not contracted from nor is it requested to be contracted for in any manner. This is not an offer of prostitution. I do reserve the right to decline appointments, as I deem appropriate.

By clicking SUBMIT, I agree to the terms above.

*Any deposits made are not refundable if the appointment is cancelled by the client...if I cancel for ANY reason you deposit if fully refunded.