Application For a Date  
Name________________________  
Address_______________________
City/State______________Age______Height_______
Hair______Weight_____Eyes______Hips_____                    
Divorced_____Engaged______Separated_______
Do You Fuck_____Suck______Drink______Smoke______
Do You Enjoy Intercourse______Wet Dreams______
How Many Times A Night Do You Fuck:  One____Two____Three____
All Night____Sixtynine____ Can You Stay Out All Night____
If Not How Long______ Pussy Size:  Small____Medium____Large____
What Size Dick Do You Like:  Small____Medium____Large____
Extra Large____Makes No Difference____
When Fucking Do You:  Scream____Bite____Scratch____Pull Hair____
When Cumming Can The Neighbors Hear You Scream_____
Do You Keep Your Pussy Clean At All Times_____
What Type Of Fucking Do You Like Most:  On Top____Back Scuttle____
On The Bottom____Hanging Off Bed____
Just Plain Six O'clock Up And Down____Dog Style____
When You Cum Do You Faint____Or Are You Ready For More____
When Was The Last Time That You Fucked________________
Do You Want To Fuck Right Now_________
If You Have Fucked Before, Give The Name Of Three References:
1.________________ 2.________________ 3._________________

All Information Is Strictly Confidential!

Sign Here__________________
Date______________________