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Bangalore Escorts Imperial
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Intake form
Help us serve you better
Name
*
Email address
*
Phone number
Preferred appointment date and time
Type of escort desired
Select
College Student
Ramp Model / Airhostess
Housewife
Actress / Celebrity
Duration of service required
Select
Two hours (One shot)
Four hours (Two shots)
Full Night (Four shots)
Special requests or preferences
How did you hear about us?
Select
Social Media
Search Engine
Word of Mouth
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Preferred mode of payment
Select
Cash
Credit/Debit Card
Online Payment
Additional questions or comments
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