Contact Me

For us to get to know each other, please fill out my booking form, send me an email or text me. Regarding your privacy, I am always discreet and respectful. The information on this form is sent directly to my encrypted Proton Mail email account.


For safety purposes screening is required. I accept any of the following options: references from other companions, TER Whitelist, Preferred 411, Employment Verification, or a copy of your photo ID. Please email me if you have any questions.

NOTE: For Employment Verification I only require your LinkedIn profile or company website with photo. If neither are available I also accept company phone numbers along with your direct line.

I’m excited to meet you!

646- 349-7433 (Text or WhatsApp Only)

Preferred 411: P64833

    Your Details

    * Full Name:

    * Email:

    * Telephone Number:

    Appointment Details

    * Date of Booking:

    * Time of Booking:

    • :

    * Duration:

    * Incall/Outcall

    * Please provide your location name and address:

    * Please provide your location name and address including country & city:

    Screening Options
    (choose your preferred method of screening)

    1. Companion References
    Minimum of 2 references from companions you have visited in the last 6 months. Name, website, email + phone number.

    * Companion reference 1:

    * Companion reference 2:

    2. Employment Verification

    * Position:

    * Company name:

    * Company main phone number:

    * Your direct line:

    * LinkedIn page:
    with 250+ connections and profile picture.

    3. ID

    * Please provide a copy your photo ID:

    4. P411

    * Please provide your P411 details for verification:

    Additional Information

    * Where did you hear about me?

    * If other, please state below:

    * Please enter the directory name below:

    Would you like to share your picture with me? If yes, please upload.

    Comments / questions / requests...