Interested in booking a date? Please fill out the form below. I can’t wait to meet you! Full Legal Name * First Name Last Name Email * Cell Phone Number * (###) ### #### How did you find me? * Twitter Tryst P411 Private Delights Silxa Google Friend Desired Date * MM DD YYYY Preferred Meeting Time * Hour Minute Second AM PM Length Of Date * 1.5hrs $1,700 2hrs $2,000 3 hrs $3,000 4hrs $4,000 6hrs $5,000 8-10hrs $6,000 14hrs, Overnight $7,000 16hrs, Overnight $8,000 24hrs $10,000 Extended Incall/Outcall/Travel? * Incall (Fee++) Outcall FMTY Where would you like see me? * Dallas, NYC, Houston, London ect Verification/ Screening Method * Selfie Holding ID Selfie with Passport Provider References Provider References ( 2-3 Recent) Please include name, email address, website address and social handles. Must be seen within last 6-12 months Is your desired date flexible? Please list other date options Thank you!
