Booking Form

Want to spend some time together? Fill out the info below and I’ll be in touch to set the date!

Please be advised that screening is non-negotiable and a non-refundable deposit of 25% is required to secure all bookings. I look forward to spending time with you!

Full Name

*as listed on ID*

Phone

(###)

###

####

Preferred Date & Time

Appointment Length

Incall or Outcall?

Introduction

How do you want to spend our time?

Drinks? Dinner? Dessert? *sexually explicit responses are automatically discarded*

What's your occupation?

LinkedIn URL preferred.

Where'd you find me?

I understand that a non-refundable deposit of 25% is required to secure booking.