Booking Request with References

If you wish to secure a date with me then verification is a necessary prerequisite, you can rest assured though, I’m totally worth it 😉

Provider #1 - Name *

First

Last

Contact Information - Phone and/or email address *

Web Presence - A link to their website, current advertisement, or twitter page *

What is something she will remember you by?

Provider #2 - Name *

First

Last

Contact Information - Phone and/or email address *

Web Presence - A link to their website, current advertisement, or twitter page *

What is something she will remember you by?

Your Name *

First

Last

Your Email Address *

Confirm Email

Your Mobile Phone Number *

Which package are you interested in? *

How long would you like us to be together for? *

Would you like to experience Nuru with me? *

Nuru is one of my most popular experiences. The option to experience Nuru for yourself is included for free with my Ultimate XXX Relaxation and PSE packages or simply add $100 an hour (minimum time 1 hour, recommended time 90min) to include it with any of my other experiences.

Would you like to remember our experience via Media (photos & filming)? *

Add $200 per hour of shooting (BYO Camera/Equipment)

Will your partner be joining us? xx *

I adore seeing men and women intimately one on one as much as I adore being able to spice up the love life of couples, therefore I only charge an extra $100 an hour to do so.

Would you like me to help you fan the flames of desire via one of my Virtual GFE packages? *

Are you interested in any of my other Virtual offerings, if you are please let me know below x

I now offer many enticing Virtual GFE packages, please see the following page to find out more xx https://yourintimacycompanion.com/virtual-girlfriend-packages/2/

Where shall we meet, your place or mine? *

When would you like to meet? *

Which dates and times suit you best? For example, my preferred day and time is 25th September at 2pm however I am also available to meet 20th - 24th September anytime between 2pm and 10pm.

Which city are you in? *

Where did you find my website? *

Phone