I’m so glad you’re here. I hope you have enjoyed viewing my photos and have had a chance to get better acquainted with me. I love meeting new people and look forward to getting to know you much better. Before we meet however, it is necessary for me to conduct a discreet screening process to verify your identity. Please be assured that your privacy is my up-most concern. Your information will be held in the strictest confidence and will be deleted after the screening process is complete. Once your information has been verified, I will contact you by phone so we can become better acquainted. Please complete the form below so that we can begin our fun together.

**PLEASE NOTE - Unless I am already in your city, the minimum engagement is six hours plus roundtrip airfare from wherever I may be at the time. To view my calendar, please click the availability tab. If you have arrived here through a link on my Eros ad in your city and wish to schedule an appointment, please use the number listed to call me for a prompt reply. I am not always able to check my email regularly. Thank you. I look forward to meeting you very soon : )
 
First Name:  
Last Name:  
     
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Employer Name:  
Work Phone #:
Main line or switchboard		  
     
Cell Phone #:  
Best Phone # Call:  
Best Time to Call:  
     
Email Address:  
     
Companion Reference:  
     
City of Residence:  
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Length of Engagement:  
     
How did you hear about me?  
     
Comments or Special Requests:
All responses containing graphic or vulgar language will be deleted.		  
     
 
To reserve your time, a deposit of 25% is required for local engagements and 50% for travel engagements. Please indicated your preferred method of payment  
Credit Card (Visa, Master Card, American Express, Discover)
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I have read and agree to the cancellation policy