Approved_
Denied__

APPLICATION FOR A PIECE OF ASS

Name________ Address
Age_ Phone_ Social Security Number_
Color of Hair__ Real Color of Eyes_
Dentures? Height__ Weight Waist Size
Chest Size or Bra Size Marital Status: Married_Single_
DivorcedOther____________________________
Are breasts or balls real?_ Do you like them: SuckedChewed_
Kissed___Carressed_Squeezed_Other______________
Can you stay out late?_How Late?_______All Night?_
Do you like to be screwed?_How often?
Do you like oral sex?_______________________________________
Penis or pussy size: SmallMediumLarge_X-Large
While screwing, do you: Faint_Fart_Cry_MoanHum
Whistle_Scratch_All of the Above_Just lay there_________
When you cum, do you: Wiggle_Wobble_Twist_Jerk_
Scream__Cry_Or just start humping like hell?___________
What kind of screw do you like? Fast_Super Fast_Slow_
All Night?How many times?_Comments_
How long do you like to screw at one interval?
Do you want to screw now?_________________
If you have screwed before, Give two(2) references (no immediate family)
NameAddress_Phone_
Name__Address_Phone
If application is favorable, what charges for one night?
One hour_Muff Burger special or Blow Job_____________
What credit cards will you accept?
MastercardVisaAmEx
SearsJ.C.PenneyShellDiscover_Citicorp______

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