> NAME: __________________________ ADDRESS: ______________________________
>
> AGE:  _________ PHONE: ___________________  SSN: _______________________
>
> COLOR OF HAIR: ______________ REAL?: _________ COLOR OF EYES: __________
>
> DENTURES?: ________ WEIGHT: _______ HEIGHT: _______ WAIST SIZE: ________
>
> CHEST SIZE or BRA SIZE: __________ MARIRAL STATUS: MARRIED___  SINGLE___
>                                                    DIVORCED___ OTHER____
>
> ARE BREAST or BALLS REAL? ______ DO YOU LIKE THEM: SUCKED____ CHEWED____
>                                  KISSED____ CARRESSED____ SQUEEZED____
>                                  NONE OF THE ABOVE____ OTHER____
>
> CAN YOU STAY OUT LATE? ___ HOWLATE? ___ ALL NIGHT? ___ SEVERAL DAYS? ___
>
> DO YOU LIKE TO BE SCREWED? ___ HOW OFTEN? ____ DO YOU LIKE ORAL SEX? ___
>
> PENIS OR PUSSY SIZE: SMALL ____ MEDIUM ____ LARGE ____ EXTRA LARGE ____
>     (DONT LIE)
>
> WHILE SCREWING: DO YOU FAINT__ FART__ CRY__ MOAN__ HUM__ WHISTLE__
>                        SCREAM__ YODEL__ SCRATCH__ JUST LAY THERE__
>                        GO TO SLEEP__ ALL OF THE ABOVE__
>
> LIST THE TOP 3 POSITIONS YOU LIKE THE BEST: 1)___________________________
>                                             2)___________________________
>                                             3)___________________________
>
> WHEN YOU CUM DO YOU: WIGGLE__ WOBBLE__ TWIST__ JERK__ SCEAM__ CRY__
>                OR DO YOU....  JUST START HUMPING LIKE HELL_________
>
> WHAT KIND OF SCREW DO YOU LIKE? FAST__ SUPER FAST__ SLOW__ ALL NIGHT___
>
> HOW MANY TIMES? _________________ COMMENTS _____________________________
>
> HOW LONG DO YOU LIKE TO SCREW AT ONE INTERVAL? _________________________
>
> IF YOU HAVE SCREWED BEFORE, GIVE TWO(2) REFERENCES (NOT IMMEDIATE FAMILY)
> NAME:______________________ ADDRESS:___________________ PHONE:__________
> NAME:______________________ ADDRESS:___________________ PHONE:__________
>
> IF APPLICATION IF FAVORABLE, WHAT ARE YOUR CHARGES_______ IF NOT________
> ONE NIGHT______ ONE HOUR_____ MUFF BURGER SPECIAL OR BLOW JOB?__________
>
> WHAT CREDIT CARDS WILL YOU ACCEPT? MASTER CARD___ VISA___ AM EXPRESS____
> SEARS___ JC PENNEY'S___ ALL OF THE ABOVE___ OTHERS___
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