APPLICATION FOR A PIECE OF ASS NAME:________________________ SOCIAL SECURITY #:__________________________ ADDRESS:_________________________ PHONE:_________________________________ AGE:_________ MARITAL STATUS:______SINGLE ______DIVORCE _____MARRIED COLOR OF EYES:______ COLOR OF HAIR:_____________ IS HAIR REAL:________ HEIGHT:______ WEIGHT:______ WAIST SIZE:_____________ DENTURES_________ CHEST OR BRA SIZE:_____________ ARE BREAST OR BALLS REAL:___________________ DO YOU LIKE BREAST OR BALLS: ___SUCKED ___CHEWED ___CARESSED ___WHIPPED ___KISSED ___SQUEEZED ___OTHER ___NONE OF THE ABOVE CAN YOU STAY OUT LATE? ___YES ___NO IF YES HOW LATE?__________ DO YOU LIKE TO BE SCREWED? ___YES ___NO HOW OFTEN?___________ DO YOU LIKE ORAL SEX? ___YES ___NO PENIS OR PUSSY SIZE: ___SMALL ___MEDIUM ___LARGE ___X-LARGE WHILE SCREWING, DO YOU: ___FAINT ___FART ___CRY ___WHISTLE ___SCRATCH ___MOAN ___YODEL ___SCREAM ___OTHER ___ALL OF THE ABOVE ___JUST LAY THERE WHEN YOU COME, DO YOU: ___WIGGLE ___WOBBLE ___TWIST ___JERK ___SCREAM ___CRY ___OR DO YOU JUST START HUMPING LIKE HELL WHAT KIND OF SCREW DO YOU LIKE: ___SLOW ___FAST ___SUPER FAST ___ALL NIGHT HOW LONG DO YOU LIKE TO SCREW AT ONE INTERVAL:__________________ DO YOU WANT TO SCREW NOW? ___YES ___NO GIVE TWO REFERENCES YOU HAVE SCREWED BEFORE (NOT IMMEDIATE FAMILY) NAME:_________________ DATE:_____________________ NAME:_________________ DATE:_____________________ IF APPLICATION IS FAVORABLE, WHAT ARE YOUR CHARGES(IF ANY) ___ONE HOUR ___ONE NIGHT ___ONE WEEK ___ONE MONTH SIGNATURE:______________________________ DATE:____________________