Mistress expert Lovers reservation
◇The name:  
◇Reservation:  FirstAfter the second
◇Cell-phone e-mail address: 
◇Cell-phone number:  

◇Dispatch Mistress *There is no nomination It is entry-free*
The first nomination:  
The second nomination:  
The third nomination:  

◇In the case of nomination:  This is the first time with herWith her more than the second

◇Reservation day: (month day
◇Start time you like <

◇Use place
Home dispatch  
※Please fill in a detailed address

Around neighborhood station hotel wait
※Other than the station mentioned above=Station namen

◇Use course

◇On using it
Nomination rate 1,000yen

◇Discount service
※割引利用の際はチェック
Discount coupon
※I fill in coupon contents and a number

◇Option
※There is the impossible option by Mistress
Golden shower 1,000yen
Naked Mistress 3,000yen
Feces 10,000yen
Photography face OK 20,000yen
Photography face NG 10,000yen
Video face OK 30,000yen
Video face NG 10,000yen

◇Message

I display a confirmation screen

 ※I record an IP address


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