booking-form

Booking Form

Escort Name : *

Full Name : *

Telephone Number : *

Email : *

Location: *

Incall Outcall

Duration : *

Date of meeting: *

Time : *

Select country : *

City : *

Outcall address details :

Please supply landline telephone number, full address details & room number (if hotel):

References from Other Providers :

Occupation Information:

Name of Business: *

Business Phone: *

Position in Company: *

Business City: *

Business Website

Additional Info

Are you a TER member or member of any other board?

Yes No

If yes, handle name:

Are you a member of P411?

Yes No

If yes, please tell us your ID:

Are you roomservice verified?

Yes No

If yes, City & State on ID:

Security code : *

32b0

*Represents Mandatory field(s).

If the booking is not within the next 24hrs you can email us with your real name, telephone number and email address, and we will contact you. We are extremely discreet and will only retain your contact details on request. No unsolicited contact will be made after your booking and we will arrange to contact you in the way that is most convenient to you.

Our rates are based on USD. Our Terms are payment in full at the beginning of the meeting with the model of your choice. When a model is in her home base she is Out-call Only! In-call is only available when the model is touring.

+1 954 638 1570