Name * First Name Last Name Email * Subject * Message * Tell me a little bit about yourself and what brings you here. Messages containing explicit language will automatically fail screening and will not receive a reply. Newsletter Discount Code Enter the discount code you received in my newsletter to claim your offer. Not signed up yet? Enter your email here to have exclusive promotions delivered directly to your inbox. Which city would you like to meet? * Preferred Date * Which day would you like to meet? MM DD YYYY Preferred Time * What time would you like to meet? Hour Minute Second AM PM Alternate Dates & Times * In the event your preferred date or time are not available, please provide 2 or more alternate date/time ranges that work for you. How long would you like to meet? * My place or yours? Please note I do not provide outcall to private residences for new clients. * Incall or outcall? Incall Outcall What type of session are you interested in? * Companionship BDSM/KINK/FETISH Would you like to add sensual massage? * Yes No Which service do you prefer for deposit? * Please note that gift cards are accepted on a case by case basis and do not apply toward the balance of your session. CashApp Venmo Cryptocurrency ApplePay Gift Card Are you interested in a duo? * Yes No Where did you hear about me? * Unhinged and Unforgettable Podcast Tryst Private Delights RubRankings Twitter/X BlueSky Instagram Google Referal Phone * For screening purposes only. I will not call or text you as I prefer to communicate via my encrypted email. No app numbers or Google voice. Country (###) ### #### Employment Information * Please provide me with a reasonable amount of information to verify your employment. For Example: Business website, work email address, business card etc. If you are retiree or unemployed please provide social media. Cancellation Policy * I have read, understand, and agree to the cancellation policy. Thank you so much for reaching out. I will be in touch with you asap. XOXO - SHG
