Booking

* Denotes a required field

Your Name*:

Your E-mail*:

Contact Number*:

How did you hear about me?

Booking Date

Booking Time

How long would you like to spend together?

Do you want to see me with my (check all that apply)
Boy Toy
Girl Friend
TS Friend

A brief introduction. Tell me your Fantasy or Request:

SCREENING INFORMATION

Please help me verify you are who you say you are. The more information you provide, the easier and faster this process will be. I make no exceptions to this process. The information you provide will be used discretely and will be discarded at the end of the process. Once verified, there is no need to do so again.
I accept the following third party verification services RS2000, Date-Check, or P411. And that is all I require. If you are not a member, please give me as much information as you can or join one of these services. They are great.

www.rs2kmembership.com
www.date-check.com
www.preferred411.com

RS2000, Date-Check, or P411 Information:

Employer or Company Name

Company Website

Company Tel Number

AGENCY REFERENCE

Agency Name

Agency Website

Phone and/or Email

PROVIDER REFERENCE #1

Name

Website

Phone and/or Email

Something that will jog her memory about you

PROVIDER REFERENCE #2

Name

Website

Phone and/or Email

Something that will jog her memory about you

Preview

Donations Per Hr.
In Call 350
Outcall 500
Couples +100
Me, You and My Boy Toy +100
Me, You and My Sister + 450
Me, You, My Sister and Boy Toy + 500
Film & Take Pictures +100