HOME    CONTACT    ABOUT US    RATES & SERVICES    RESERVATIONS    FAQ    EMPLOYMENT APPLICATION

Client Reservation Form
Please be advised: it is the policy of VIP ELEGANCE that no persons under the age of 21 years of age will be extended services. Take note we will only use your information for business purposes only.  All new clients are required to go through a screening processes Please fill out the form and we will be in contact with you. Once approved you will be given appropriate numbers to call for scheduling appointments from then on.
	Your sex			Your Nationality			Your Affordability
	Male    Female			Caucasion European Non-Native African American African Non-Native Asian American Asian Non-Native Latino American Latino Non-Native Latina American Latina Non-Native Caribbean American Caribbean Non-Native Other			$500 - $600 an hour $600 - $700 an hour $700 - $800 an hour $800 - $900 an hour $900 - $1000 an hour
	Client's Age			Service (s) you seek?			Annual Income
				Dating Services Companionship Massageing Services Bachelor Party Bachelorette Party			$30,000 - $40,000 per year $40,000 - $50,000 per year $50,000 - $60,000 per year $60,000 - $70,000 per year $70,000 - $80,000 per year $80,000 - $90,000 per year $90, 000 - $100, 000 per year $100,000 + annually
	Your References
	You must provide at least three references of other service providers, Services, or prior customers to be assisted.
	Your Preferences
	Help us to locate your preferred companion of your choice; the more information you provide the better we'll be able to serve your needs... (ex: male, female, nationality, age, height, weight, eye color, hair color etc...) Upon receiving your request VIP Elegance Service Representative will respond, promptly, within 24hrs... Simply highlight the above text and write over to submit your request...

SEATTLE    CHICAGO    LAS VEGAS    PORTLAND    DALLAS    PHOENIX