Tayjon's Erotic Ride

Tayjon's Fan Club site -- $19.99 a month - hundreds of pictures and videos - Click HERE to join

If you would like to spend some tie with me please fill out the following form. After you have been screened I will email you my phone number. I do not with to publicly display my phone number for privacy reasons. If you need to email me for any reason you can do so at tayjon@tayjonseroticride.com. Please do not try to avoid filling out my contact form for appointment requests UNLESS WE HAVE ALREADY MET! All new friends are REQUIRED to fill this form out.

For the reference info, if you don’t have a provider reference please put N/A and fill out employment information. If you do have a provider reference put N/A for the employment information.

Full Name *
City *
State *
Contact Number *
E-mail Address: *
Age *
City of Appointment *
Date of Appointment *
Time of Appointment *
Appointment Duration *
Appointment for *
Provider Reference (Name) *
Her email address *
Her website or site she advertises on *
Her phone number *
Something that may help her remember you
Company Name *
Company Phone (plus ext. if applicable) *
Position *
Board Affiliations/Handles (Date Check, TER, TBD)
Extra info or note
Who referred you to my site (website or person)
* Required