Name
*
First Name
Last Name
Phone
*
(###)
###
####
Company or employer’s name
*
Employment verification
*
Include either 1) a link to a profile with your photo on your company website, 2) your publicly searchable work email account (i.e. yourname@companyname.com), or 3) your 100+ connections LinkedIn profile & your Facebook and/or Instagram.
Date of birth
*
MM
DD
YYYY
How long are you interested in meeting for?
*
Cocktail Date - Three hours - 1700
Dinner Date - Five hours - 2100
Out on the Town - Seven hours - 2300
All day - Clock free - 3300
Sleepless in the City - Clock free - 3700
Two hours - 1300
1.5 hours - 1100
I acknowledge if I wish to extend during our encounter, there is an hourly $600 extension fee.
*
Yes, I'm aware of your in-session extension fee.
What is the most ideal day and time for you to meet?
*
Are we meeting at my place or yours?
*
Incall
Outcall
Outcall [Staten Island or the Bronx +200]
Outcall [NNJ, Westchester, LI, or CT +400]
Outcall [NNJ, Westchester, LI, SI, BX or CT extended encounter travel fee waived]
Would you like a kink consultation?
Yes, I'd like a kink consultation to briefly check in with you about my interests.
No, I do not need a kink consultation.
I am aware of and have thoroughly read your etiquette protocols and communication boundaries listed under the "Savor" tab on your website and I will abide by them.
*
Yes, I will honor the agreements and send concise and respectful messages.
I will only contact you to schedule, confirm, reconfirm, coordinate logistics, or reschedule or request a reference.
I am aware of and have thoroughly read your deposit and cancellation policies listed under your rates on the "Seduce" page on your website.
*
Yes, I have read your deposit and cancellation policies.
Yes, I'm aware of the partial deposit requirement of 10-30%
Yes, I understand your deposit is non-refundable unless you cancel.
Yes, I will promptly send your deposit via a money transfer app or in the form of a gift card.
Yes, I'm aware if I want to reschedule I must notify you 72 hours or more before our agreed upon encounter day and time.