Please be sure to check our rates page before filling out this form.
Attention ALL NEW CLIENTS: Please see recommended verification process at bottom of page. 

We realize that sharing certain information can be uncomfortable as well as concerning. Please know that your privacy is as important to us as it is to you, honestly. We would like to think that sharing with you the fact that in 30 years of operation our agency nor its' staff members have never, ever been responsible for any breach of client confidentiality would help put you at ease some. Our only goal is to ensure that our entertainers are in safe hands and we certainly hope you can understand that. Your information is never sold, rented shared nor used for any other purpose than for your appointment and that is a promise.
 

Your Name
Your Email
Your Age
Your Race
Cell Phone No.
(Primary Contact No.)
Have You Ever Used Our Service Before? Yes  No   
If so do you recall when or who you saw and in what city?
Star:
City:
Approximate Date Last Used:

Which XXX Star
would you like to see?

When? at
How Long?
Where?
Name of City
Location Type
If in call, please specify
Employer
Occupation
Business Phone Ext.
Bus. Web
Contact via

Best time to call
Comments

Billing Information must be exactly as it appears on your card, or it will decline.
Pay Method
Card  No.          CVC Code  
Expire Date     
First Name        Middle Initial
Last Name  Suffix (Jr., Sr. etc.)
Company Name (If applicable)
Billing Address (This address must be the address in which your credit card statement
 is mailed to. This must match exactly or it will be declined.)
Street (Line 1)
Street (Line 2) (Apt./Suite # if applicable)
City   
State       Zip     Country 


Please be positive that you have provided answers to all questions. Forms that are not complete
cannot be processed. After you have confirmed your information to be thorough, just click the
submit button and we will get back to you as soon as possible. Replies should be within the
hour, please feel free to contact us at 866.252.2299 if this has not occurred.

Thank you

 

Registering with RoomService2000 is one of the quickest and most secure means
of becoming a verified hobbyist. It makes for easy, hassle free appointment setting
and is highly recommended. Otherwise, please be prepared to share requested
information about yourself in order for us to verify you.

 

           

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Revised: 11/09/09