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CLIENT INFORMATION - PLEASE BOOK IN ADVANCE

Are you 18 years of age or older?

I certify I am 18 or older, let's do this!

By checking this box I agree with the FOLLOWING statements: This is not an offer for prostitution. Money exchanged is for Time and Companionship only. Time together may include services such as erotic dancing , costumes or nude modeling, role-play, photo shoot, or any other sexy service offered on this form.

I agree with the above statements.

By checking the box below, you are agreeing to the FOLLOWING statements: Anything that may occur is a matter of personal choice between two or more consenting adults of legal age, and is not contracted for, nor is it requested to be contracted for, or compensated for in any manner. Furthermore, this is not an offer, nor is it an agreement, nor is it an engagement in sexual conduct for a fee.

I agree with the above statements.

I understand the local and federal laws and the policies contained within this agreement. I understand that copying or distributing any material found on this site or any website used or owned by Maids 'N Heels or it's owners is a violation of this agreement, and violators will be prosecuted. If I am in violation of local and/or federal laws, I am completely responsible for my own actions. I have not notified any federal, state, local law enforcement or goverernment agency, legislative or judicial body to intercept adult oriented material. I am not a postal official or law enforcement agent or acting as an agent. I will not attempt to obtain any evidence, from this web site, for the prosecution of an individual and/or entity. I do not represent any federal, state, or local law enforcement agency, legislative or judicial body. I will not use the information gained from this site to sue, prosecute, harass or abuse any individual and/or entity. I will not hold the owners and/or creators responsible for any negative consequences, which might arise as a direct or indirect result of viewing this web site. I have released and discharged the creators and owners of this site from any and all liability, which might arise. I shall agree to the acceptance of all of the included terms and conditions. I waive all legal right to use any materials or information contained within this web site against the creators and/or owners or any party related to it. I have read, understood and certify agreement to the entire legal disclaimer above.

I agree with the above statements.

Name *

Prefix

First *

Last *

Suffix

Age *

Address

Unit #

City *

State *

Zip Code *

Door/Gate Code *

Email

Phone

### - ### - ####

APPOINTMENT INFORMATION We hope the maid you want is available, but select a second maid just in case. Thanks!

How Many Maids Do You Need? *

1234More than 4 Additional maids are only $90/Hr.

Select Your 1st Maid *

1st Available MaidBethCelinaNadineTerryAlyssaSabrinaNessaFaithHollyBrooke

Select Your 2nd Maid *

1st Available MaidBethCelinaNadineTerryAlyssaSabrinaNessaFaithHollyBrooke

Select Your 3rd Maid

1st Available MaidBethCelinaNadineTerryAlyssaSabrinaNessaFaithHollyBrooke

Select Your 4th Maid

1st Available MaidBethCelinaNadineTerryAlyssaSabrinaNessaFaithHollyBrooke

Appointment Date *

010203040506070809101112 MM / 01020304050607080910111213141516171819202122232425262728293031 DD / 192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030 YYYY 000102030405060708091011121314151617181920212223 HH : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 MM AMPM AM/PM

Parking Available *

On StreetFree Parking GarageDrivewayPublic Parking Lot Client Pays For Parking.

Location *

HomeCondoApartmentBusinessHotel

Amount of Time Desired *

12345 # of Hours

Please Select Your Services

Erotic Cleaning ($100/Hr)   Erotic Cooking ($100/Hr)   Sexy Waitress & Catering ($175/Hr)   Role Playing Fantasy ($250/Hr)   Sexy Poker Dealer ($150/Hr)   Sexy Fitness Trainer ($250/Hr)   Companionship ($350/Hr - References Required)   Strip Show ($200/Hr) - Show includes lap dances, spanking, whipped cream and lotion   One-Girl Toy Show ($250/Hr)   Two-Girl Toy Show ($400/Hr)   Two-Girl "Fantasy" Show ($650) 1 hour girl on girl show plus more toys and entertainment. Over 20 different positions!   Three-Girl Strip Show ($525) 3 hours strip show! Each girl does an hour show including lap dances, spanking, whipped cream and lotion.   Full-Nude Server - $250 for 2 Hrs of Waitress or Bartender services.

Please Select Additional Services

Wake Up Visit W/Coffee ($50)   Dry Cleaning Pick Up/Drop Off ($50)   Laundry/Ironing ($75/Hr)   Lap Dance ($60)   Sexy Fitness Trainer ($200/Hr)   Companionship ($300/Hr - References Required)

Select Payment Method *

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