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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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