1 Full Name.

2 Primary email you use.

3 Hotel or other accomodations in Pattaya, or Bangkok, such as apartment, room or condo. (if none enter none)

4 Address of accomodations. (if none enter none)

5 Days you wish to book. This includes rates.

6 Select independent escort companion by name.

7 Select alternative independent escort companion.

8 Month and Year of booking.

9 Day booking will start.

10 Method you wish to use to make deposit (22%). Western Union and eMoneygram are available to most countries.
    A direct deposit into the Bangkok Bank if you are currently in Thailand is also an option.