Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Birthdate *

MM

DD

YYYY

Desired date 1st choice

MM

DD

YYYY

Desired date 2nd choice

MM

DD

YYYY

Location type

(please mark all that apply)

incall *currently requires $150 incall fee

outcall

public social setting

I understand and agree to the deposit policy. *

For new friends and bookings longer than 2 hours, please send a $100 e-gift card via email to confirm your booking. If you need to be hosted, please also be prepared to pay a $150 incall fee with your deposit.

Yes

N/A

I understand and agree to the cancellation policy. *

Cancellations within 24 hours of your appointment will incur a 50% cancellation fee. Cancellations within 8 hours of your appointment will incur a 100% cancellation fee, although half may be used toward a rescheduled date within 14 days.

Yes

N/A