Reservations

Please provide the following information:

First Name

Last Name

Date of Birth

E-mail

Contact #

Home City & State

Work Phone

City & State

Requesting Services

( I do NOT entertain those under 25 years of age, unless I have seen you in the past, then I will be more then happy to see you again.o)

Occupation

required-Company/Business name

Main Work line #

Alternative phone #

Provider Reference

Date Desired

Time Desired

 

 

Length of Appointment

1hr/$300   1.5hr/$400  

2hr/$500   3hr/$650

4hr/$850.00 (Dinner and Lasting Passion)

8hr/$1,600.00 (Fantasy In Heaven)

12hr/$2,400.00 (Overnight Rendezvous)

24hr/$4,000.00 (Exotic Erotic Fantasy)

48hr/$6,000.00 (Fun Mini Vacation)

72hr/$7,500.00 (3 Day Getaway)

7 days $15,000.00 (The Ultimate Fantasy)