Request Form

Date, Party, Bachelor, Bachelorette, Birthday Party request



Event, Party or Escorted Travel Request Form

Requesting this form you accept our terms confidentiality and know that we will never share your personal information with anyone! We know the perfect companions for you and a partner. Business travel, conventions, party dates, romantic resorts, fantasy lifestyle companions (swinger, cuckold, pornstar experience) etc. We are your personal private event planner. Once you submit this form a event planner will contact you with in 24 hours. 

Applicant Information
First Name: *
Last Name: *
Address Street 1:
Address Street 2:
City:
Zip Code: * (5 digits)
State: *
Gender: *
If Couple Co-Attendee
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email: *
Seeking Companion Information
Time desired:
My budget: * (USD)
Type companion you like 
Gender: *
Body Type:
Ethnicity:
Any special traits:  
Special Events Attending:
Type of Party:  Bachelor etc
Other Information
Comments:
 Security Code: *   
LasVegasChicas.com (LVC)  Terms of Service and WARNING!
By submitting this form you agree as follow: You are not under 18 years of age or legal age to view adult material in your community. LVC cannot be held responsible for your actions. LVC is not acting in any way to send you this information; you are choosing to receive it! Continuing further means that you understand and accept responsibility for your own actions, thus releasing the creator(s) of this web site and LVC staff from all liability. Under no circumstances does the creator of this site or any LVC staff consent to or has knowledge of any illegal activity committed by anyone associated with this website. NO sexual activities are implied or condoned by LVC staff or the creator of this site. This site does not promote a prostitution ring nor is this advertisement or any content therein an offer for prostitution. You are not a part of any law enforcement agency in an attempt to entrape LVC creator, staff members or third party partners. Money exchanged is for companionship only and anything beyond that is a choice made between two consenting adults and not contracted for by the site or any LVC staff. LVC visitors have their responsibility for the texts inserted in pages guestbook, reviews or partners. Any and all money paid for companionship and travel is NON refundable with receipt of service.


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