Reserve

Reserve

To book an appointment to meet me, please fill in the form below.

    Your Details and Contact Info

    * Full Name:

    * Preferred Nickname (what you want me to refer to you as):

    * Email:

    * Telephone Number:

    * Age:

    * Job Title:

    * Are you a new or returning client?

    * How many times have we met before and in what city (best estimate)?

    * Since we've never met, I require a video call with you prior to meeting. If this is okay and you wish to continue your screening, please provide me with your preferred app or software that we can conduct our video call on as well as your username or info needed to find you on that program or site. Feel free to provide more than one. I will not contact you for this video call until we've spoken first and I have your permission to do so.

    * Since we've never met, I require a video call with you prior to meeting. If this is okay and you wish to continue your screening, please provide me with your preferred app or software that we can conduct our video call on as well as your username or info needed to find you on that program or site. Feel free to provide more than one. I will not contact you for this video call until we've spoken first and I have your permission to do so.

    Appointment Details

    * Date of Booking:

    * Time of Booking:

    * Duration of Booking:

    * Incall/Outcall

    Deposit and Rescheduling Agreement

    For appointments of this length, a non-refundable 25% deposit is required to secure your booking. You may reschedule your appointment as long as you provide at least 24 hours notice, your deposit will then be applied to the new appointment.

    * Please provide your location name and address:

    * Please provide your location name and address including country & city:

    * Please provide your location name and address including city, state, zip, and apt, building, or rm # if applicable:

    * Please provide all the information needed about the trip you are planning, such as the location name and address of where you wish me to accompany you to including city, state, zip, and country. Also please provide any additional details about the trip that I may find necessary to move forward. We can talk exact flight details after your 50% deposit, which is required at the time of booking so please know this in advance and be prepared to do so if you wish to continue:

    * Since you chose other, what other type of appointment or idea did you have in mind? I do have an open mind and I am always down for a new adventure, so please provide as many details as you can, there will be more space below if needed.

    Screening Options
    (choose your preferred method of screening)

    Companion References
    Minimum of 2 references from companions you have visited in the last 6 months. Name, website, email + phone number.

    * Companion reference 1:

    * Companion reference 2:

    LinkedIn

    * LinkedIn Profile
    with 250+ connections and profile picture.

    ID

    * Please provide a photo of yourself holding your photo ID up next to your face(max file size 5mb):

    * Please provide a photo of the front of your ID.(max file size 5mb):

    Facebook Profile

    * Please provide a link or URL to your Facebook page while left on public for verification

    Eccie ID or Username

    * Please provide the information needed to find you on Eccie, such as your username or ID number for verification

    TER ID or Username

    * Please provide the information needed to find you on TER, such as your username or ID number for verification

    In Person Screening for 100

    * Please provide an address and name of a public location in which you prefer to meet for our 15 min brief meet and greet screening, and make sure to provide a city and state. Note this screening is 100, and that must be collected at the time of booking to ensure you show up:

    * Date of in person screening:

    * Time of in person screening:

    Additional Information

    * Where did you hear about me?

    * If other, please state the URL and site name of where you found me below:

    If you would like to share your picture with me please attach one below.(max file size 5mb)

    If you have any Comments, Questions, Requests, Concerns, or would like to share additional details about your desired date that you weren't asked for or able to answer above...

    Please tell me a little bit more about yourself below, include your likes, dislikes, desires, fantasies, preferences, or even what your expecting of our time together or from me in general. Totally optional, but it helps me prepare for our time together adequately if you share these things with me. Its also more likely that I'll be able to provide you with the exact experience you need and seek.