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GET PRE-SCREENED NOW!

We now have an open enrollment for new clients and I will tell you that the screening process for newbies is very rigorous so please if you are not willing to provide a driver's license as proof of your identity on your first appointment , then we ask that you do not call us to tell us if there is any other way to be a client here.
Also we need a VERIFIABLE WORK NUMBER so we can call and ask for you in a very discreet manner to see if you are under employ at the said establishment. If you have a provider reference from another agency then this will do well as a cross checking reference for us. Lastly a cell phone number is also required and asked for.
If you are willing to provide all of these then we will welcome you with open arms.

We will take no new clients after 5PM weekdays - or on weekends.
Please allow us 24-48 hours to verify you! YOU MUST FILL IN FORM ENTIRELY!!!!!!!

IF YOU HAVE ALREADY SUPPLIED THIS INFORMATION PLEASE VERIFY WITH US VIA PHONE BEFORE FILLING OUT THIS FORM

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Name
Address
City, State, Zip
Work Phone
Cell Phone
First Email Address
Second Email Address
Drivers License and State
Place of Employment
Occupation
Preferred Contact Method
Provider Preference 1
Provider Preference 2
Reference (Provider or Agency)
Best GFE Handle
TER Handle
Big Doggie Handle