Valerie Verdi | Booking Information

Booking

The form below asks for information I require when booking new clients. Please be as through and specific as you can, as that will help expidite the process for both of us.

I treat all information with the utmost confidentiality; it is quickly and securely destroyed after verification.

Personal Information

Full Name

Occupation

Company

Website Address

City

State

Contact Information

Email Address

Work Phone
(Main Line)

Mobile Phone

City

State

Booking Information

Where would you like to meet?

Hotel
Residence

Restaurant
Fly me to you

Meeting Address:

Phone # of meeting

City:

State:

Date of Appointment

AM PM Package

References

References

1st Companion:

Website:

2nd Companion:

Website:

3rd Companion:

Website:

Additional Info
(one choice must be answered)

If a Website, which one did you find me?
If a Referral, who referred you to me?
Other (explain)

Comments

Service Agreement

By submitting this form I understand and agree to the following:

1)This website does not constitute an offer of prostitution, neither is this an escort service. Any money exchanged is for time and companionship only. No fees or tips of any kind will be quoted, negotiated or assessed, or collected in exchange for any sexual conduct. 
Time together may include services such as erotic dancing or modeling. Anything else 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. 

2) Under perjury of law, I solemnly affirm that I am over the age of 18 years of age, and that I am not accessing www.sweetvalerieverdi.com</a> for the purpose of obtaining information that will be used by me or others in any capacity against anyone. 

3)I will have released and discharged the providers, owners, and creators of this site from any and all liability which may arise.

4) I am not a law enforcement agent, nor do I work at all with criminal law.

5) If I use these services in violation of the above and below agreement, I understand I am in violation of local and federal laws. I am solely responsible for my own actions.

I agree to the above terms