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Get in touch MONTREAL

Please fill out my booking request form with complete screening information and deposit in order to book our date.

     Screening  &                Booking

REQUEST FORM

Please note that not all information is obligatory, however for screening purposes it will make booking our date that much easier! All information is kept strictly confidential and will not be shared.

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BASIC INFORMATION

Please complete the form below.

REFERENCE #1

Please list the name and contact information from two past providers.

REFERENCE #2

Please list the name and contact information from two past providers.

BOOKING INFORMATION

Please complete the booking information below

Incall or Outcall

Please describe your ideal date, include any specials request below.

ADDITIONAL INFORMATION

Please complete the additional  information below

Please briefly introduce yourself and leave any other information you might want me to know about you. 

Thanks for your send!

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