Reservations

Please note: I do not see other adult actors, adult producers, or those with any involvement in the adult entertainment industry. With that in mind attempting to make an appointment and providing fradulent info of any sort (ie. age) will cause you to forfeit or lose your deposit in its entirety. No exceptions!!!!

I know confidentiality is important to you, as it is to me, so I am very discreet when verifying you. This is for my safety, so it is not negotiable.

Please do not contact me if you have a problem giving me any of your information or looking for ways around it. I assure that the info is for my safety purposes only but it is required. Thank you for understanding.

Please fill out this form so I may contact you.
Your Name
Middle Initial
Last Name
Age
Race/Ethnicity
Occupation Title
For what company do you work?
In What City Do You Reside?
In What City Would You Like to Meet?
E-mail Address
Home Number
Work Number
Number you wish
to be contacted at
How did you hear of my site?
Incall or Outcall
1st Appt. Choice (time/date)
2nd Appt. Choice (time/date)
Length/Type of Session
How would you like to pay your deposit?
How would you like to pay the balance of your fee?
   
 
Please contact me as soon as possible regarding this matter.

Enter your personal description and comments in the space provided below:

Have you ever used the services of an escort/escort agency before?


 Yes    No

If you answered yes, please provide the name of the escort or service and their contact information as a reference (e-mail address preferred).

Escort or Service Name
Escort E-mail
Escort Phone

If you answered no please read below:

All 1st time clients are required to be verified unless you have seen another qualified courtesan. This verification is a MUST, it is totally confidential and painless, however if you do not plan on co-operating please don’t waste your time and mine. It is merely a precaution for my safety and well-being as well as yours. Once this is out of the way I will feel completely comfortable and will be ready to meet you and have some fun!

*Please click only once. It may take a few moments to process your request.


 

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