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About You

Full Name: *
Age: *
City and State of Residence: *
Occupation: *
Social Media Page Link:

Contact Information

Email: *
Phone: *
Accept SMS/Text:
Best Times to call:

Appointment Details

Preferred Dates/Times: *
Preferred Length: *
In-Call or Out-Call? *
If requesting outcall, preferred location?
Traveler to this Area?
Wardrobe Request(s):
Other Special Request(s):
Any Likes or Dislikes:
Preferred Payment Method: *

References & Details

Name, contact info, AND website of two provider(s) you have seen before.
How did you hear about me? *
I have reviewed donations and cancelation policy. *

I manage ALL email correspondence, verification, and scheduling personally to ensure the confidential handling of your information, and endeavor to respond to all emails within a timely manner.  Please do graciously allow up to 24hrs for a response.  My email server is very secure and often my replies will end up in spam/junk folders - please make sure to add me to your safe sender list!  If you have not received my response within 24 hours, please contact me again as something went awry with technology!  Once I am able to complete a verification I will happily send over some unblurred photos and my personal cell.  ;)