Name *

First Name

Last Name

Phone number *

Country

(###)

###

####

Preferred Contact Method? *

I kindly request that all communications, whether through my booking form, email, or text, remain free of explicit topics or language.

Text

Email

Incall or Outcall? *

Incall +$150

Outcall-I come to your 4-5 star hotel, upscale private residence, etc. Uber/Lyft fee TBD based on your location

Preferred Length of Date? *

Dates 3 hours and longer must include social time in a public setting (a shared meal, cocktails, fun outing, etc).

1 hour/$400

1.5 hours/$500

2 hours/$600

3 hours/$700

4 hours/$800

5 hours/$900

6 hours/$1,000

8 hours/$1,500

12 hours/$2,000 *overnight date / minimum requirement for FMTY*

Full day together/$2,500

Weekend Together/$3,500 (Fri-Sun)

What day would you like to meet? *

MM

DD

YYYY

What time would you like to meet? *

Hour

Minute

Second

AM PM

How will you send the deposit? *

To mitigate against cancellations and no-shows, I require a non-refundable 20% deposit for all dates. When sending your deposit, kindly leave the optional note/memo section on the payment app blank.

Throne (instructions will be provided later)

CashApp

Apple Pay