Make an Appointment

 

WELCOME
ABOUT DANA
GALLERY
RATES
AVAILABILITY
FAQs
APPOINTMENTS
CONTACT DANA
 

Before I can make an appointment with you, I must verify your identity.  Please do not be offended by my request for this information.  I assure you that all information I obtain from you is shared with no one else and is strictly obtained  for the sole purpose of my personal safety and security.

 

Real name (first, MI, last):
Nickname, if preferred:
Preferred 411 Client ID, if any:
Residence city, state, & county:
Email address, if OK for discreet use:
Cell phone, & best times for discreet calls/voice mails:
Are discreet text mails OK?
Occupation, &/or job title, &/or employer name:
Work/other phone, & best times for discreet calls/voice mails:
Where/how did you find my ad/website?
Are you disease free and drug free?
Age & race:
Height, weight, hair & eye color:
Date(s) desired, or day(s) of week preferred:
Time of day desired:
Duration desired (length of meeting):
Outcall location, if outcall is desired:
Type of beverage/wine preferred:
Comments (as appropriate, please) :