New York, NY 12258

Tel: Available after email contact



Please fill out the form with as much information possible


Remember, this will be my first impression of you, so make it count!

I strive to provide an authentic encounter and only accept invitations from like-minded individuals

that share similar interests, so that a natural chemistry can develop.  Mutual respect is required at all times, in person and in correspondence.  Please Note: Messages that are lewd, rude, disrespectful or reference any explicit or illegal acts WILL BE IGNORED.

The information you provide on the form plays a large factor in determining compatibility, and my decision to accept your invitation to meet.  Please introduce yourself and provide some information about your style and personality.


Incomplete forms will not be considered. If you are too busy to fill out my form, then we are definitely

not compatible. 

Clients with references:

I accept references from reputable ladies you have seen recently. I need all of the following for the

reference to be accepted:

Entertainer's Name

Contact Email

Personal Website OR

P411/TER profile 

Clients WITHOUT references:

SCREENING IS MANDATORY - NO EXCEPTIONS!  Please provide the following information for screening:

Your Name, as listed on your Driver's License

Cell Phone #

Place of Employment - Company name, business phone number, LinkedIn profile

Personal cell (contact will not be made unless instructed to do so)

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Success! Message received. I will be in touch ASAP!