Contact

Name*
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Age*
Email*
Day of our Date*
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Day
Year
Time*

: Hours

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Screening*
Please provide a link to your LinkedIn profile or a picture of your photo ID for screening or 2 references from providers you have seen before that have Twitter or a website. Photo ID can be emailed to [email protected]
Special Requests / Notes / Anything I Should Know*
Where did you find me?*
- Twitter
- Slixa
- Tryst
- Google
- Word of mouth
- Other
I will reply to all booking requests within 1-4 days. 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. By sending me a booking request you are confirming you are at least 19 years of age.