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.

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Name *

First

Last

Email *

Mobile *

Nationality *

City/ area of residence *

Age Range *

• 21-35
• 36-50
• 51-65
• 66 +

method of booking

Booking requirements

In/ Outcall *

• Incall
• Outcall

Outcall area *

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

Length of booking required (Incall)One Hour (£350)90 Minutes (£450)Two Hours (£550)2.5 Hours (£650)Three Hours (£750)Four Hours (£900)Five Hours (£1050)12 Hours/ Overnight (£2000)For longer bookings please message me directly to enquireN/A

Preferred deposit method (20%) *

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

Length of booking required (Outcall)One Hour (£400)90 Minutes (£500)Two Hours (£600)2.5 Hours (£700)Three Hours (£800)Four Hours (£950)Five Hours (£1100)12 Hours/ Overnight (£1800)24 Hours £250048 hours £3500

How did you find me? *Social MediaGoogleEscort directory websiteWord 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 MessageWhatsappEmailViberOther (Please Specify)X

Other:

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

I look forward to meeting you… 💋

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