Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Means of Communication *

How would you like me to contact you?

Email

Phone

Session Type

GFE

Kink/fetish

Duo

Double domme

Not sure

Preferred Location *

Incall

Outcall

Flexible

Preferred Session Length *

One hour

90 minutes

Two hours

Three hours

Up to six hours

Overnight

24 hours

48 hours

Longer than 48 hours

Agreement *

I have read the "Rates & Protocol" section of this website and agree to pay the rates listed. I understand that my deposit is not refundable. If I am a new client, I agree to pay the balance in cash (NO electronic payments) at the beginning of the booking. I attest that the information I provided above is true to the best of my knowledge.

I agree