Reserve

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

MEANS OF IDENTIFICATION MUST BE PROVIDED FOR THE BOOKING TO BE CONFIRMED

You can also reach me on WhatsApp at: +16466123831 (NO SMS!!)

Deposits can be paid by PayPal here: Pay Deposit

Kindly click on “add $ to cover the fees” when sending the donation. 

    Your Details

    * Full Name:

    * Age:

    * Telephone Number:

    WhatsApp:

    * Email:

    A brief description of you:

    Appointment Details

    * Preferred Date of Booking:

    * Preferred Time of Booking:

    • :

    * Type of Booking:

    * Duration:

    * Please provide your location name and address:

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

    * New or Returning Client?
    Please note: if you select Returning Client when you are not a returning client with the intention of avoiding screening you will be permanently blacklisted!

    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:

    Employment Verification

    * Position:

    * Company name:

    * Company main phone number:

    * Your direct line:

    * LinkedIn page:
    with 250+ connections and profile picture.

    P411

    * Please provide your P411 details for verification:

    TER

    * Please provide your TER details for verification:

    Compulsary ID

    * Please provide a copy your drivers licence / photo ID
    (max file size 5mb)

    * Please upload a selfie
    (max file size 5mb)

    Additional Information

    * Where did you hear about me?

    * If other, please state below:

    * Please enter the directory name below:

    Q&A