Legal Name

First Name

Last Name

Cell Phone

(Please use your real number. This is used for screening purposes ONLY. I will not contact you without your permission)

(###)

###

####

How should I contact you?

Text

When and where should we meet?

(include hotel address, date, and time)

How long should I plan for?

(check one)

1.5 hour(s)

2 hours

Cocktails (up to 3 hours)

Lunch/Dinner (up to 4 hours)

Full Day (11a-9p)

Overnight

Travel Inquiry

Provider or Work Verification

Please choose one of the two options: work verification OR (2) references from reputable providers (must include website & email) For employment verification (which I prefer and makes me feel the most comfortable) - choose one: 1) LinkedIn profile (min of 100+ connections - I may ask you to send me a LinkedIn Inmail) 2) Your company's website (with your name & picture on it) 3) Send me a email from your work email 4) a Google profile that displays your name and business

Deposit type?

How will you be sending deposit - for more on deposits please read deposits page under booking policies

CashApp

Venmo

Bitcoin

Giftcard

If using venmo/cashapp please provide username. If other, using bitcoin or giftcard leave blank.

Where did you find me?

Say hello

If you have any questions, comments, or just want to tell me about yourself here's your time to shine!

Thank you for your submission! - I will review this information and get back to you shortly via your preferred contact method

thank you for your interest in meeting - Either my assistant, angelina (angelinatheassistant@proton.me), or myself will get back to you shortly!

Before booking please read over my screening, deposit, and cancellation policy here