Let’s Start Our Journey! Name * First Name Last Name Age * Email * Phone (with area code) * (###) ### #### The Ideal Date * 4hr Dinner/Lunch Date (recommended) 3hr Cocktail Date 2hr Date 6hr Extended Dinner/Lunch 8hr Daydate 12hr Overnight 16hr Extended Overnight 24hr Date 48hr Date 48hrs + Preferred Date * Please refer to my Upcoming Tours MM DD YYYY Booking Location (city) * My place or yours? * My place Your place Alternative Date (If I have no availability on preferred date) * MM DD YYYY Preferred Outfit (I will do my best to accommodate) Casual (Jeans/Tshirt) Smart Casual (Trousers/ Tight Blouse etc) Sexy (Cleavage & Heels) Tasteful (Elegant & Sophisticated) How did you find my website? * Please tick that you accept my deposit & cancellation policy * Yes What form of screening will you be providing? * Linkedin & Government ID Two names of other providers you have met & ID Thank you for your enquiry! I aim to respond within 24hrs.
