Connections

A second option is available as my contact form is unfortunately not reliable at this time
Copy & paste text below to email [email protected]
Any submissions blatantly ignoring requested information will not receive a response

First & Last Name
Email
Phone Number
Date, Time & Duration
City & State Of Desired Location
State ID You may cover your home address ID Number O N L Y
What type of experience are you seeking
Your Username & Platform You Found Me

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Phone Number *

How Did You Find Me *

Duration *

Date / Time *

Date

Time

Desired Location Sate/City *

Tell me about yourself

What Type of Experience Are You Seeking *What Type of Experience Are You Seeking? Afternoon Delight $400Massage $300Naughty House Keeping $300

State ID *

Click or drag a file to this area to upload.

You may cover your Home Address & ID Number O N L Y

Deposit & Cancellation Policies *

• Yes, I am aware of the Cancellation Policy
• Yes, I am aware that an Electronic Deposit is required prior to scheduling
• Yes, I am aware I will never meet with you if I submit any photos not properly representing my State ID in the correct manor
• Yes, I am aware that by submitting this application that this does not guarantee the day and time requested
• Yes, I am aware that I do not have permission to write explicit reviews on A N Y website in regards to our time together. Failure to do so will cease all communications between you and I immediately

Submit