Please allow our all female staff, here at Lourdes,
to help you arrange the introduction of a lifetime!

 

Please fill out our registration form below. We respect privacy and will not sell or distribute your information to any third party.

Lourdes Enterprise Registration Form


ALL INFORMATION MUST BE COMPLETE
Please be honest, we will need to discreetly verify you for her safety. You will be required to show ID.

* Indicates a required field.
Contact Information
* Country:
* First Name:
* Last Name:
* E-mail Address:   ?
Is it ok to email? Yes    No

By selecting Yes and submitting this form, you are subscribing to our weekly
Lourdes Enterprise newsletters of Celebrity Personal Appearances.
You can unsubscribe at any time by clicking the unsubscribe link at the bottom of our emails.
Please review our privacy policy for more information on how we handle your data.
This subscription is optional and does not affect your access to any other services.

* Contact Number:   ?
Is it Ok to text during business hours? Yes    No

By selecting Yes and submitting this form, you are subscribing to our weekly
Lourdes Enterprise SMS messaging of Celebrity Personal Appearances.
You can unsubscribe at any time by replying STOP to opt-out.
Please review our privacy policy for more information on how we handle your data.
This subscription is optional and does not affect your access to any other services.

Consent is not a condition of registration. Message frequency will vary. Message and data rates may apply.
SMS SHARING DISCLOSURE: No mobile data will be shared with third parties/affiliates for marketing/promotional purposes at any time.
Reply HELP for help and STOP to cancel.


 For verification purposes and confidentiality, we keep our clients discreet.
   
Personal Information
  Date of Birth:   ?
  Height:
  Weight:
 For verification purposes and confidentiality, we keep our clients discreet.
 
Occupation Information
* Name of Business:
* Business Phone: ?
* Position in Company:
* Business City:
  Business Website:   ?
 For verification purposes and confidentiality, we keep our clients discreet.
 
Additional Info
How did you hear about us?
 For verification purposes and confidentiality, we keep our clients discreet.
 
Payment Information
We will send you an invoice for payment. Thank you!