| Application For Piece Of Ass |
| Approved___________ Tested For Aids?__________ Denied_____________ Physician_________________ Name____________________________ Address_______________________________ Age_____ Phone____________Social Security#_________________________ Hair Color________ Real?_______ Eye Color__________ Real?___________ Dentures?____________ Height_________ Weight_________ Waist Size___ Marital Status: Married_______ Single_______ Divorced_____ Other___ Chest or Bra Size_________________ Are they real?________________ Do you like them: Sucked__ Chewed__ Kissed__ Carressed__ Squeezed__ None of the above_____ other_____ Can you stay out late?__ How Late?___ All Night___ Several Days?__ Do you like to be screwed?_______________ How often?__________ Do you like Oral Sex?_______________________ Penis or Vagina Size: SM____ Med_____ LG______ EX LG______ While Screwing do you: Faint__ Fart__ Cry__ Moan__ Hum__ Scream__ Whistle__ Yodel__ Scratch__ All of the above__ Just lay there__ Other__________________________ When you orgasm, Do you: Wiggle__ Wobble__ Twist__ Jerk__ Scream__ Cry__ Other?________________________________________ What kind of screw do you like? Fast__ Slow__ Super Fast__ All night___________ How many times_______ Comments____________________________________ How long do you screw at one interval?____________________________ Do you want to screw now? _________________ If you have screwed before, Give 2 References (Not Immediate Family) Name_______________________ Address___________________ Phone_______ Name_______________________ Address___________________ Phone_______ If the Application is favorable, what are your charges? If any? For one night____________ One Hour___________ Muff Burger Special or Blow Job______________ What credit card will you Accept? Master Card?______ Visa?_______ Sears?_______ JC Pennys?_____________ Shell?_______________ American Express?_____________ Citicorp?______________ I verify the Above Information is the Truth, So Help me God!! ___________________________________ Signature ___________________________________ Date |
| Posted August 8, 2001 |
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