Your Browser Does Not Support Java Script.
this is a problem.




  
  
  
  
  
  
  
  
  
  
  
  
*Name

*Email Address

*Confirm Email Address

Home Phone

Work Phone

Cell Phone

Preferred method of contact  

*Comment - Things I should know or special requests ...

* InCall OutCall
  GFE Modeling

*What city would you like to see me in?
*Date you would like to meet?

Please press the calendar image
to request date availability.
Time you would like to meet?

*Length of appointment you are requesting

Coming Soon! Request Membership
Requires Valid, Working Email address, To be entered above.
Always check your spam/bulk and other until you have received your reply.



[an error occurred while processing this directive]


To Verify Human User.
Input the Code
seen above.

Refresh Your Browser
for a New Code.
Are You Human?
Copyright © 2006-
Bill Tucker


Tell Me About Yourself.
Screening is very important and NON negotiable!!
If you can not trust me with your screening information,
then I can not trust you to have an appointment with me.

If you are a member of Preferred411 or Date-Check.com,
all you need do is send me your personal ID, included in your request.
Otherwise, fill out this screening application,
If you have any questions you may call xxx-xxx-xxxx (Screening still apply's)
Do not text me!! If you can not be gentleman enough to call me or email me,
then you do not need an appointment with me.

1. Be registered with one of the major screening sites

Preferred 411 ID
Preferred411.com


Date-Check.com ID
Date-Check.com


2. Fill out this profile.
Please make certain that the lady’s you use for a reference are able to
be contacted ether by phone or by email. I would truly hate to deny an
appointment because I could not contact the reference’s you provided.


How did you find me?


Full birth date(must be at least 30 yrs. old)


Boards you are on
TER ID
ASPD ID
Big Doggie ID
Escorts.com ID
Club Midnight ID
After Hours Central ID
Sweet Dixie ID
i-hobbiest-1 ID

Names of two lady's you have seen prior to me and their contact information.
Web site, email address and /or phone number.




This site contains material of an adult nature. Please do not enter if you are not 18 years of age or older or do not wish to be exposed to adult content. By entering this site you are confirming that you are over the age of 18yrs and that adult content is legal in your area. Please note that this site does not represent or offer prostitution. Money exchanged is strictly for companionship only. Time together may include erotic dancing, or dinner, drinking and dancing or modeling.

Page ViewsPage ViewsPage ViewsPage ViewsPage ViewsPage ViewsPage ViewsPage Views
Page Views

Copyright© Dusti Rose Dot Net

Contact Webmaster



Restricted To Adults