Low Volume Luxury Companion

Booking

ALL P411

MEMBERS ARE

WELCOME HERE!

 

Send ALL INFORMATION TO courtesanofnyc@gmail.com 

About You  

 

 

Appointment Request

 

Date Request: Tentative (Please add a few dates & Times

Plus how long

Use the form below to request an appointment.

 

Contact Information

Please provide your name and contact information below.

 

First and Last Name *

 

Email *

 

Ethnicity *

 

General appearance, body stance*

 

Resident City and State *

Age*

Phone Number*

 

Can you receive texts?

No

Yes

 

 

Online Screening Services

 

If you are a member of one of the following screening services, please provide the necessary details I need to verify you.

Date-Check:

 

Preferred 411:

 

Room Service 2000:

 

TER :

 

Private Delights ;

 

 

Companion References:

Please provide the name, email, website address ( A MUST)
for at least two reputable companions you have spent time with.

Reference #1:

 

Reference #2:

 

IF you're newbie or rather not give refs

Employment Screening

Please provide your employment information below

Company Name

Position/Title

Company Website

Company Phone Number

Your Direct Line or Extension

Phone etiquette or cover story to use when calling?

Appointment Details

Please outline your appointment preferences below.

 

Requested Date*

 

Preferred Time*

DURATION PLEASE 

I PREFER LONGER DATES, I FEEL A CONNECTION IS PRICELESS. LONGER DATES TAKE 1ST PRIORITY.

Miscellaneous Information

Additional information to help me process your request

How did you find me?

Is there anything else you would like to tell me?

Personal Photo (optional)