Appointment

SCREENING IS NOT AN OPTION- IT IS A SAFETY AND SECURITY MEASURE FOR BOTH PARTIES and NOT NEGOTIABLE!

All information gathered is deleted completely at the end of the day in which screening is completed. It ensures, with a safe degree of certainty, that both parties are legit, established and gives insight to our possible compatibility. Be sure and read all the info and fill it out completely. If any part isn't answered, you won’t be processed for verification.

*If you do not have 2 reputable & verifiable Provider references, please note you will be expected to provide a form of personal verification linking you to one of the following: Linkedin, FB, IG or Twitter (social media profile/handle), employment email or company website (OR) last option a copy of your ID w/ Name and DOB visible. You are welcome to cover the other info before submitting.

Once received & completed, all that’s left is to have FUN!

* Required Field

Inquiry Intro

Full Name *

Phone (if applicable)

Age *

Current City/State *

Ethnicity *

Occupation *

Website you discovered me? *

Verification Information

Your P411, OH2 or twitter handle

1st Provider references: her name, email, phone & website (if applicable) *

2nd Provider reference

Personal verification - ID, work email, linkedin etc *

Appointment Details

Preferred Date *

Appointment time

Preferred Length (1hr, 90, 2hr etc) *

Preferred Incall/Outcall *

(if) Outcall -Location

Special Request(s) (attire or beverage)

List any Additional Questions here

Answer this question to prove you're human:

Ashtyn Belle

Appointment