PLEASE FILL OUT THIS QUESTIONNAIRE. NOT THE RARE ESCORT QUESTIONNAIRE.
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For more information please visit my websites www.mikkifine.com

mikkifine.rare-courtesan.com

I have wonderful reviews. I have reviews on both of my websites, TER and there might be some on Date-Check as well.

I am 40 years young.

I am very health conscious therefore drug and disease free.

For those worried about going to notels,hotels, or motels...

Not to worry. I always have a private residential incall available for your pleasure. Incall-- Hwy6/Clay Rd

If you would like an appointment then please fill out the questionnaire.

Sorry I do not see black men. I do not cater to women or couples.

1. Date of Appointment:

2. Time of Appointment:

3. Length of Appointment:

4. First Name:

5. Middle Name:

6. Last Name:

7. Date of Birth:If you are under 35 then please email a copy of your drivers license and a headshot only photo. I will also need your work information (including a phone number).

8. City and State you reside:

9. Phone number and hours not to call:

I DO NOT ACCEPT REFERENCES FROM SPA OWNERS, SPA GIRLS OR AGENCIES. THE LADY MUST BE AN IDEPENDENT.
10. INDEPENDENT Provider Reference 1 and she must have her own personal website:

11. INDEPENDENT Provider Reference 2 and she must have her own personal website:

12. If you have no Provider References then please supply your employment information and work number to verify.

I am available 7 days a week. My hours are flexible. I can take an appointment as early as 7 am.

If you are interested in a same day/late night appointment then please contact me before 6pm.

If you have not been screened (by me) then please contact me by email only.

http://www.mapquest.com/directions/main.adp?do=nw&go=1&r=f&aoh=&aot=&aof=&2a=%5b14536%2d15199%5d%20CLAY%20RD&2c=HOUSTON&2s=TX&2z=77084&2n=HARRIS%20COUNTY&2y=US&2l=EbmSNS2jkhZ9OdhZIzNkjA%3d%3d&2g=VP96v%2fTsPohtll6Y7TTaHg%3d%3d&2v=STREET&1a=200%20WESTHEIMER%20RD&1c=HOUSTON&1s=TX&1z=77006%2d3222&1y=US&1l=jWrAtPnSDqVouImxRY4GBQ%3d%3d&1g=Oz94toxBOh3pDVldzVdHdA%3d%3d&1pn=&1pl=&1v=ADDRESS&1ffi=&1ex=&1n=HARRIS%20COUNTY