Manual Booking Form

Copy and paste to messenger with the same format

Name :

Age:

Email:

Position/Job Title:

Contact Number/Messenger

Date :

Time:

Type of appointment:  Check only ✓

Incall

Outcall

Details for Outcall Guests/ Correct Name & Room Number:

Type of Service: Check only ✓

Standard Nuru Massage

VIP Nuru Massage with Escort

VIP Full Escort Service

VIP Dating Companion

VIP Tourist Escort Companion

Special Request Adds-On(required)   : Check only ✓

Oral without condom

Daty/Cunnilingus/69/Reverse

Sex without condom

Cum on face & body

Cum inside/Creampie     

Foot Job

Balls Worship/Sucking/Licking

Ass Rimming/Giving only

Please give me all in package & best offer today.

None,for safety purpose.

Would you like to avail of VIP secured priority booking with a P1000 deposit?(required) Check only ✓

 YES

NO

Would you like me to arrange and upgrade the room with a secured deposit?(required) Check only ✓

YES

NO

I HAVE MY  OWN PLACE

Hotel Accommodation & Room Type(required) Check only ✓

Basic standard package with free express room only

Standard Room /3-5 Star Hotel

Deluxe Room /3-5 Star Hotel

Executive Room/3-5 Star Hotel

Superior Room/3-5 Star Hotel

Please suggest one for me

I have own place

How much cost do you prefer to upgrade a hotel accommodation?(required) Check only ✓

P2000 UP

P3000 UP

P4000 UP

P5000 UP

P10,000 UP

Please suggest hotel room for me

None,basic standard free express common room hotel package only

I have my own place

For Non-secured & express room appointments, are you willing to wait in the lobby as waiting for customers during their busy hours?(required) Check only ✓

Yes,I’m willing to wait for lobby meet-up

No,please arrange my room for privacy purpose & I’m willing to settle hotel secured deposit

I have own place

If verified outcall guest, where do you want me to meet?(required) Check only ✓

Ask front desk for visitors assistance

I’ll pick you up at the lobby

None for incall

Would you like to extend my companion with an additional amount?(required) Check only ✓

Yes

No, I’ll go for standard hours only.

Please request additional hours to extend my company(required) ) Check only ✓

P2000 / First 2 Hours

P 4000 / First 4 Hours

P 6000 / First 6 Hours

None

Are you willing to pay travel expenses if outside Makati & BGC area?(required) Check only ✓

YES

NO

Full payment shall be collected during the meeting. Please prepare upon my arrival /tips are welcome.(required) Check only ✓

TOP-UP

Table

Envelop

Mode of Payment(required) Check only ✓

Cash

Gcash

Paymaya

BDO Online

BPI Online

Are you Covid-19 vaccinated?(required) Are you Covid-19 vaccinated? (required) Check only ✓

Yes

No

Are you coming from?(required Check only ✓

International/Tourist

Domestic/Local

If not local, what is your nationality? Type N/A if you are Filipino(required)

Any primary health conditions like heart diseases, skin, oral infection, asthmatic, etc.?(required) Check only ✓

YES

NO

Do you smoke?(required) Check only ✓

YES

NO

Notes/Privacy Concerns/Promo Code/Special Request(required)

Would you like to make a call for a final discussion after submitting the form?(required) Check only ✓

Yes,for clarification.

No,I’m good let’s proceed to our appointment as soon as possible.

How did you find me?(required) Check only ✓

Search engine ( Google,Bing,Yahoo,Duckgo etc)  (required) Check only ✓

Locanto PH

Massage Republic

Social Media (Facebook,Twitter )

Friends & Direct Referral

Have you checked your booking form correctly before submitting it? Take note your booking will be rejected if filled out disorderly.(required) Check only ✓

YES

NO

Your bill is automatically reflected to your selected service & cannot be changed during the appointment, are you aware of the total bill package you avail? (required Check only ✓

YES

NO

Before submitting the form, have you checked all rates, terms, and conditions?(required) Check only ✓

YES

NO

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