June 13, 2008 - Don't fill this out.  Outback told me not to mess with it, I did, and now it doesn't work. 
He is on vacation until the 22nd.  Yes, I deserve to be spanked. 
Please e-mail me the information to MissLogan@cox.net.   Thanks!


I give reservation form requests the highest priority.
FIELDS MARKED WITH AN * ARE REQUIRED.

Repeat clients please click here for the short form.  (This one still works.)

Rendezvous
*When I would like to see you:  for hours.
I would like you to bring your friend:
*Where I would like to see you (city & location):
*I will be paying by: Cash Credit Card
Your Contact Information
*My real first & last name is:
*City, State and/or Country where I live:
*A private e-mail address to reach me at is:
*Please verify e-mail & type again:
*My cell phone or primary telephone number is:
*Please contact me back using:
 E-mail   Phone   Text Message
*Restrictions on calling me:
*My occupation is:

*How I would describe myself:
My message board screen name is:
*Your Screening Information - at least one is required
Options 1:
I am a member of Room Service 2000, Date-Check, P411 
or am TER whitelisted with a VIP membership: 
Option 2:
Contact info for at least two independent
internet escorts that I have seen
(web site, phone, e-mail), plus date and location:
Option 3:
I work for (business name, city, state):
Main phone number:
 Ext 

Company web site, call restrictions, etc:

Other

*I heard about you from:

Comments, requests, screening info, etc:
   

 





Fun with two