Independent Melbourne Escort

Please start by sending me a completed Booking Form [below] so that I can I can get to know you a little better.

Please tell me about yourself and your interests and be specific about the day and length of engagement that you desire and the city and hotel where you would like to meet., then I will let you know my fees for the engagement.

I prefer all bookings to be made with the booking form but you can also send me an email enquiry.

My initial contact with you will be by email.

It is essential that you provide me with your full name and email address.   

I do not respond to enquiries that only provide a telephone contact.

Hope to hear from you soon.

Simone x

BOOKING FORM

City where we will meet:
Appointment date:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2006 2007 2008 2009 2010 2011
Time of appointment:	Select Time: 12:00 Midnight 01:00 am 02:00 am 03:00 am 04:00 am 05:00 am 06:00 am 07:00 am 08:00 am 09:00 am 10:00 am 11:00 am 12:00 Midday 13:00 pm 14:00 pm 15:00 pm 16:00 pm 17:00 pm 18:00 pm 19:00 pm 20:00 pm 21:00 pm 22:00 pm 23:00 pm
Time we will be together:	Hours
How you will pay:	Select Payment Cash VISA or MasterCard
Hotel Name:
Is your hotel reservation confirmed?:	Select Answer Yes No
First Name
Surname
	(Must be identical to the name of your hotel reservation/check-in)
Email address
	(Appointments will only be confirmed by email)
Your age
Occupation
City of residence
Your Interests
Contact telephone number
Is it safe to leave messages on your phone?	Yes No
Special Requests
Anti Spam check
Verification Code
	Please enter the text in the picture above (use Uppercase letters).