Keanu reeves management team

Email: keanureeevesmanagementteam46@gmail.com
Contact Address: 5317 Auckland Ave apt 1 north Hollywood CA 91601

Booking Form
Form No: 42873BC
PERSONAL INFORMATION
FIRST NAME MIDDLE NAME LAST NAME
HOUSE ADDRESS STATE ZIP CODE

STATE COUNTRY

MEANS OF IDENTIFICATION

☐ STATE I.D: STATE I.D NO_________________________________________________________________

☐ INTERNATIONAL PASSPORT:PASSPORT NO_____________________________________________
☐ DRIVERS LICENSE :LICENSE NO__________________________________________________________

OTHER INFORMATION on LOCATION OF MEET

HOW LONG DO YOU WANT THE MEET ___________________________________________________
CHOICE OF RESERVATION FOR THE MEET: (TICK THE PREFERRED BOX)
☐ OPEN MEET
☐ FIVE STAR TREAT
☐ IN-HOUSE MEET.
Affirmation

I DO ATTEST THAT ALL THE INFORMATIONS

PROVIDED ABOVE IS TRUE AND THAT IF ANY FALSIFIED INFORMATION IS BEING
PROVIDED OR ANY FORM OF INNAPROPRIATE CONDUCT IS BEING OBESERVED THAT
I DO TAKE FULL RESPOSIBILITY FOR
THESE ACTIONS AND SHOULD BE CHARGED LEGALLY TO A FAIR HEARING.

Name and Signature Date/Time

N.B: a maximum of two weeks and a minimum of 2hours is required for a meet, anything more or less
may result to a rejection of your application.