BOOKING FORM

Get In Touch.

Ah! You’re here 🙂 I’m thrilled that you wish to meet me, and am excited to get to know you better.

Before you fill in the form, please make sure that you have read the T&Cs and the FAQ page

I DO NOT do in-calls unless I announce it – follow me on Twitter and Instagram to keep in the loop, or sign up for my newsletter at the “Home” page.

Please read my blog post on what booking me entails, in terms of my availability as my civil job and personal life can get hectic.

Name - Your FULL legal name, not a pseudonym. Rest assured, everything is P&C.

Age

Phone Number

Email Address

Company Name & Job Position

Links - This should be a link to a publicly identifiable profile.

How long are you booking me for?

Share with me all your availability e.g. weekends after 2pm, Fridays after 5pm etc.

How did you find out about me? E.g. Google, Twitter

Message: Introduce yourself! What are you passionate about? What is a pet peeve you have? Your boundaries? I'd also love to hear how you wish to spend our time together. Feel free to include additional questions you may have (reminder that respectfulness is a turn on for me). If you're booking me for more than 3 hours, share with me what you'd like to do together! x

I require extra discretion. (This only applies if you are someone of prominence or if you have friends & family who may be present at the location of our date) I require extra discretion. (This only applies if you are someone of prominence or if you have friends & family who may be present at the location of our date) Yes No

Are there any physical or mental ailments I should take note of? I do not discriminate but this will be helpful when screening and meeting.

Reason for discretion

References, if any, from fellow colleagues in the industry

Would you like to be included in my newsletters? Would you like to be included in my newsletters? Yes No

I am DDF (drug and disease free). I am DDF (drug and disease free). Yes, and I have verifiable proof. Yes No

I have read, understood, and agree to comply and be bound by the terms and conditions. I have read, understood, and agree to comply and be bound by the terms and conditions. Yes No

I declare that everything above is accurate and true. I declare that everything above is accurate and true. Yes No

Stay connected:

Fill in your information if you'd like to keep up to date with things going on in my life! This also includes my availability if I'm travelling or have an incall.

You're in!

First Name

Last Name

Enter.

Villanelle

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