Gem's Pleasure Treasures


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New Clients: This is my screening process, you have to fill out the form COMPLETELY in order to be considerd for an apppointment.

Returning Clients: You may contact me directly with day, time requested and phone number for callback.

Disclaimer: I will NOT see any clients under the age of 27. I am not interested in introducing young people into the world of adult entertainment or adult services. So, if you are 27 years or younger, please Do Not contact me for an appointment. I will check ID and Will send you away!

Phone calls: I DO NOT accept calls from numbers that are "ID NOT AVAILABLE" or "RESTRICTED" or otherwise BLOCKED. Please UNBLOCK your number, or leave your message with a callback number.


Name:
City where you live or work, or where you will be coming from

Phone:

Desire Call
E-mail address
Age:
Occupation:
Previous Massage experience: yes/ no/
if yes, please explain
Expectations:
What do you expect from the session with me?
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I am looking forward to providing the ultimate in relaxation and pleasure for you.
xoxo Gem xoxo
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