Name

Email

Repeat Email

Phone Number (with country code)

Your Location

Session date and time

Session type Session type Paris session incall Paris session outcall (hotel only) Paris session + dinner date Social date (coffee, dinner, ect) Shopping date Fly Me To You (currently within France only)

Session duration Session duration 2 hours 3 hours 4 hours Extended (5+ hours) Overnight Full Day

Session preferences

Limits, boundaries or taboos

Medical issues

Have we met before? Have we met before? Yes No, but we have spoken on a premium rate platform No, but I would like to

Elaborate (when, where, something memorable)

Experience Experience Virgin Newbie Medium Experienced

How do you identify? How do you identify? Slave Submissive Masochist Fetishist Kink Curious Not sure Other

Elaborate

How did you first hear about Me?

Would you like to receive My newsletter Would you like to receive My newsletter Yes No

Terms and Conditions Terms and Conditions I have read and understood the booking etiquette. I am aware that a 50% non refundable online deposit is mandatory in advance. I will not attempt to negotiate tribute rates once they have been made known. I am aware I will be permanently blacklisted if I do.