The Blue Experience - Beverly Blue Booking Form
Thanks for your interest in meeting with me.

Please fill out this form and once submitted I will confirm the booking with you by email or text.

Do remember to pay your deposit once I confirm that I am available or the booking will be cancelled.

FaceTime Verification calls are available for $30. Please send a copy of your ID prior (

If you wish to call or chat, you can reach me on Niteflirt (

See you soon....
Beverly Blue

Sign in to Google to save your progress. Learn more
Email *
Full name: *
Age: *
Phone Number *
Preferred contact: *
How did you find me? *
How would you like to verify?  *
Provider Reference #1(list name, number & email)
Provider Reference #2 (list name, number & email)
Links #1 (LinkedIn, Twitter, Facebook, etc.)
Links #2 (LinkedIn, Twitter, Facebook, etc.)
What day would you like to meet?
What time would you like to meet? *
What city & state will we meet in?
Type of Entertainment
Clear selection
Length of date:
Hosting location:
Clear selection
Special request (Wear blue hair, no perfume, wear dress, bring red lingerie, etc):
Willing to be filmed for my content sites and receive $100 discount? Copy of ID & signed model release form is required. *
Have you read my etiquette, cancellations and deposit requirements on 
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy