Please complete the following request form to enquire.

Member Name or Real Name *
Email Address *
How many minutes
or select a package		------------------- 20 Minutes 45 Minutes 60 Minutes
Date/Time
Choice One *
Choice Two *
Choice Three *
Event Details / Special Requests
All performances require  a minimum 24 hour notice and payment in advance. Once I receive and approve  your requested day and time and special requests, I will notify you through  email with a request for payment through PayPal. If you are not a member of  PayPal, you should join for free now. Please note you must be 18 years old or older to participate in this service. Thanks and I look forward to performing  for you
		* I agree to terms, rules and the above statement
		* = Required Fields