Full Legal Name *

Enter your name as it is listed on your valid government issued photo ID.

First Name

Last Name

Phone *

You authorize Frequency VA to place automated, prerecorded, or artificial non-marketing calls or text messages to this number. Message and data rates may apply. Frequency may vary. See your carrier for more information.

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Booking Option *

Vendor – $300

Bronze - $500

Silver - $1,000

Gold - $2,500

Platinum - $5,000

Multi-Platinum - $7,500

Diamond - $10,000

Payment

Please select your payment method and submit payment to confirm your spot. NOTE: Your booking is not confirmed until payment is received.

Venmo: @FrequencyVA

PayPal: @FrequencyVA

CashApp: @FrequencyVA

Cash (in person by 10/8/25)

Frequency Member Discount Request

Emergency Contact Name *

Full Legal Name

First Name

Last Name

Emergency Contact Phone Number *

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