Please fill out this booking form. Help me to get the best idea of who you are and how to make our time together as best as possible.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Mobile *

Age Range *21-2728-3435-4243-4950-5758-6465-7273-7980-8586+

City/ area of residence *

Nationality *

Occupation *

Booking requirements

(2nd of &

In/ Outcall *

• Incall
• Outcall

Outcall area *

ExtrasNoneCouples (+ £100)A Levels (+ £100)Facial (+ £50)CIM + S (+ £50)Specific kink? Let’s talk..

Length of booking required (Incall)One Hour (£450)90 Minutes (£600)Two Hours (£750)Three Hours (£900)Four Hours (£1050)Five Hours (£1200)Six Hours (£1350)I can’t currently accommodate longer incall bookings

Preferred deposit method (30%) *

• Gift Card (John Lewis, Selfridges or Harrods)
• Revolut
• Bank Transfer
• Throne

Length of booking required (Outcall)One Hour (£500)90 Minutes (£650)Two Hours (£800)Three Hours (£1000)Four Hours/ Dinner Date (£1200)Five Hours/ Dinner Date (£1400)12 Hours/ Overnight (£2300)24 Hours (£3200)48 hours (£4500)

How did you find me? *XInstagram22 BurlingtonAWWord of mouthUK PuntingAnother escortOnly FansOther

Preferred date & time (1st choice) *

Date

Time

Any special requests?

Requested date & time (2nd choice)

Date

Time

Prefered method of communication *Text MessageWhatsappEmailViberXTelegramOther (Please Specify)

Other:

Submit

To see a list of my incall locations please click here 😉

I look forward to meeting you… 💋

• Mail
• WhatsApp
• Instagram
• X