♡ AMEENA ♡ ♡ PHOTOS ♡ ♡ DONATION ♡ ♡ SCREENING ♡

Registration

♡ AMEENA ♡♡ PHOTOS ♡♡ DONATION ♡♡ SCREENING ♡ ♡ CONTACT ♡ Registration

Dare to Heal?

Screening *

Specify if you are a new or returning member.

I Am Screening

I Am Inquiring

Name *

Legal Name. Must Match Government I.D.

First Name

Last Name

Today's Date *

(i.e 01/01/2019)

Date of Birth *

Must Match Government I.D.

Current Email Address *

(Insert your email if you are screening or inquiring)

Verify Current Email Address *

(Insert your email if you are screening or inquiring)

Contact Number *

Burner Phones Are Not Accepted

Country

(###)

###

####

Work Number *

For Verification Purposes Only

(###)

###

####

Switter Handle

Private Delights Handle

Other Handles *

Please specify current & active handle. (Insert N/A if you are inquiring)

Desired Date *

Please insert Today's date if you are screening

MM

DD

YYYY

Desired Time *

Please put Today's time if you are screening

Hour

Minute

Second

Consideration *

Extended Rendevous | FMTY

Screening Verification *

Please provide one or more screening options below. Ensure enough information for a speedy response. (If you are inquiring, please insert N/A)

How Did You Hear About Ameena *

TRYST

SWITTER

TWITTER

PD

TNA

EROTIC MONKEY

WORD OF MOUTH

*I AM INQUIRING*

Message *

Please briefly introduce yourself here. Insert Requests / Questions / Concerns here. xo

You are one step closer to meeting the lovely Ameena! Please take notice that it may take 1-3 days for a response. Please provide enough information to ensure a speedy response! I look forward to our healing! I will provide my contact number once I have verified you.

xo
Ameena

AmeenaBeMinesSF@protonmail.ch

Hours

Mon Open

Tue Open

Wed Open

Thu 11:00am - 7:00pm

Fri 11:00am - 7:00pm

Sat 11:00am - 7:00pm

Sun Open

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