In order for us to process your enquiry quickly and efficiently, it would be helpful if you would include as much information as possible. All information received by us on this form shall be treated with the strictest of confidence. We shall endeavour to deal with any enquiry by way of this form (or by e-mail) and respond to you within 5 hours of receipt.

Please note that any advance booking will be subject to a telephone confirmation on the day of the booking.
CLIENT NAME:  
EMAIL ADDRESS:  
CONTACT TELEPHONE:  
ESCORT (FIRST CHOICE):  
ESCORT (SECOND CHOICE):  
ESCORT (THIRD CHOICE):  
BOOKING TIME AND DATE:  
ALTERNATIVE TIME AND DATE:  
BOOKING DURATION:  
INCALL OR OUTCALL:     IN OUT
ADDRESS (IF OUTCALL):  
   
   
REQUESTS AND COMMENTS:  
HOW DID YOU FIND US?  
 


*A Dinner date allows for 3 hours to include 1 hour of private time with the girl.
**An Evening out allows for 5 hours to include 1 hour of private time with the girl.