Georgia Peach Online Worldwide

Today |Tomorrow |Tonight.."Come Take A Bite"

PAY IN ADVANCE

*Yes I, will like to Book your Companionship in Advance for ?
$ 375- 3 Months
$ 750 - 6 Months
$ 1,125 - 9 Months
$ 1,500 -12 Months
 *Type of Session
GFE
STRAP ON
DINNER & A MOVIE
LIGHT DOM/ SLAVE/ MISTRESS
ROLE-PLAYING
OTHER
*Lenght of Session
15 min
30 min
45 min
60 min
*By submitting this form, I would like to know more information ( which would be e-mail to me) before entering into a *BINDING contract with A.K.A Georgia Peach Online
Yes
*I, also understand that before Signing I will be brief on the Terms & Conditions of the contract which will also be in writing, for my viewing ( via e-mail ) then printed, and either fax or mailed with a copy of your ID ,to "Georgia Peach Online"
Yes
*I am over 21 Years Or Older
Yes
No,I under 18, if So,please EXIT NOW
*I understand that this is an possible Offer to join a Adult Website
Yes
*I represent that the information, I have provide is True and Correct .
Yes
*By checking the check box "Accept My Electronic Signature" and click the button labled I AGREE, I am submitting my electronic signature to represent that I agree with the above information
I Agree ,"Accept My Electronic Signature"

**This IS NOT A CONTRACT, and is NOT Legally Binding

**You will be informed via e-mail for the next Steps

*All rates must be paid in "ADVANCE"   ( 1 Visit Per Month )

*For more Visit's per months. ..Please E-Mail Me for additional donations/rates

*Rates are paid via credit card, western union, PayPal, MoneyGrams or Currencies (cash)

Please allow me up to ( 1 ) hour  to receive this form , if your time zone is not (EST) United States,  please allow me the next day