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Name
*
First
Last
Age
*
Email
*
Background
*
Date
*
Date Format: MM slash DD slash YYYY
Time
*
:
HH
MM
AM
PM
Incall or Outcall?
*
Incall
Outcall
Length
*
Half hour 150
1 hour 300
2 hours 600
3 hours 850
4 hours 1100
Longer
Length
*
Half hour 200
1 hour 350
2 hours 650
3 hours 900
4 hours 1150
Longer
Location
*
Reference
*
Please provide references from 1 provider, who is on Twitter and/or has a website. If you are unable to provide references, please email me a copy of government photo ID at
[email protected]
Special Requests / Notes / Anything I Should Know
*
I will reply to all booking requests within 24-48 hours. If you don’t receive a reply please make sure you check your spam folder. Please note that I won’t reply to booking requests with rude or explicit content or booking requests with missing information. I require a min of 24hours notice when cancelling an appt. Failure to provide me with such notice will result in a $50 cancellation fee which will need to be collected before you are able to rebook.
Email
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You can also text me @647-531-7515
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