Appointment Request Form       Back

Complete the following information to request an appointment.

Note: If you are uncomfortable filling out an electronic form, you are invited to send all required
screening info directly to me at Redhead@sexyredheadmn.com. All information must be included in the email.
Work information is my preferred form of screening since it is the fastest way. Many providers don't check
their emails often enough to be used as references.

To ensure a relaxed and fun session please be sure to include the following information when requesting a date:
your name (as it appears on your drivers license,) a phone number (including a cell if you have it) and AT LEAST ONE
form of screening (reference, employer, RS2K) information. I look forward to meeting and spending time with you !!

[Note: All new clients must be verified.]

Client Information:

Full Name (as on license): 
City/State:  
E-mail address: 
Phone: (cell no. preferred)
Desired Appt Date/Time: 
Appointment Location: (no downtown Minneapolis locations) 

*Hotel name AND exact address please.
Best Time to Call: 

Desired Session Length: 
30 min $200 (Incall Only) 1 hr $300 90 min $400 2 hrs $500 3 hrs $7004 hrs $900
12 hrs (day or evening hours) $1,800

Provider Reference Information:

Provider Name: 
Provider Phone:  
Provider Web/Ad URL: 
Add any additional information here that you feel will help her remember you: 


Employer Information:

Business Name: 
Main Business Phone:  
Direct Business Phone:  

Specific site where you found me:  

Additional Information/Comments/Requests:

 

[Please Note: Following the submission of this form,
I will contact you via email or phone to confirm.
Thanks, Red]