In Office Individual Introductions Payment Form

City & Country:

Introduction Date(s):

Select how many women that you would like to meet in this city?

The introduction to each woman is $125.00 per woman. It is refundable or creditable if you don't meet for whatever reason.
There is ONE office registration fee of $150.00 that is included in the prices below. This registration fee is good for 10 days only and for ONE city (office) only.

1 Woman - $275 ($125 + $150 office registration fee)

2 Women - $400 Total ($125 each + $150 office registration fee)

3 Women - $525 Total

4 Women- $650 Total

5 Women - $775 Total

6 Women - $900 Total

7 Women - $1,025 Total

8 Women - $1,150 Total

9 Women - $1,275 Total

10 Women - $1,400 Total

• If you are hoping to meet more than 10 women during your visit, you should seriously be considering our "Individual Club Tour" options. You can schedule these for anytime and they will provide you with much more value for a similar or lower price. Please explore our Asian Club or Latin Club options.

• If, for any reason, you are unable to meet any of the women that you select, your money will be refunded or credited (optional) for that (those) women. We do not GUARANTEE that we can arrange a meeting with ANY of the women.

• It is unrealistic to expect to meet more than 3 or 4 women per day at the most. We must consider the women's availability and schedules. We will do our best to accommodate your schedule. Please keep this in mind when planning your trip schedule and try to be as flexible as possible.

Woman #1 Name:

ID Number:

#2 First Name:

ID Number:

#3 First Name:

ID Number:

#4 First Name:

ID Number:

#5 First Name:

ID Number:

#6 First Name:

ID Number:

#7 First Name:

ID Number:

#8 First Name:

ID Number:

#9 First Name:

ID Number:

#10 First Name:

ID Number:

First Name:

Last Name:

Email Address:

Be sure to enter your account / login email.

Street Address:

City:

State:

Zip Code:

Country:

Phone:

Comments:

In Office Individual Introductions Payment Form
Asian and Latin American Countries ONLY

Client Information

In Office Individual Introductions Payment FormAsian and Latin American Countries ONLY

Client Information

In Office Individual Introductions Payment Form
Asian and Latin American Countries ONLY