Contact Me

If you are interested in making an appointment, please click the "Appointment Request" button below. I frequently check my email, and will respond as quickly as possible.

Upon arrival, I do require a photo I.D. to verify that you are who you say you are. This identification is used only to verify who you are. This information is not kept on file. I'm very discreet with your information. It would never be misused. I sincerely look forward to sharing my time with you. It is my hope to provide you with a very warm, sensual, quality experience. I want to satisfy your desires in a comfortable environment.

I prefer to have 24 hours notice prior to our scheduled date. I will sometimes make exceptions to that rule, and do a same day request.

Complete the following information to request an appointment. I look forward to meeting and spending time with you!

[ Note: A minimum of 24 hours advanced notice is required for all appointment requests ]
Client Information:

Full Name:
City & State:
  [ as they appear on your Driver's License ]
Email Address:
Telephone Number:
  [ Mobile # preferred ]
Age Range:
Brief Physical Description:
Desired Appointment Date:
Desired Appointment Time:
Appointment Location:
[ exact address please! ]
Best Time to Call:
Desired Session Length: 1 Hour 2 Hours 3 Hours Over Night
Where did you learn about my services?
Additional Information/Comments/Requests:
 
Please Note: Once I receive your information, I will contact you to confirm. Thanks, Mia


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