Booking Form

All information provided will be kept confidential.
Do you prefer email? Get in touch at info@misselenapayne.com
Incomplete booking forms will not be considered.

This form is intended for client use ONLY.
(I do not visit the USA)

UPCOMING TOUR:

VANCOUVER, BC (TBD)

Name

As written on your government-issued ID

First Name

Last Name

Age

Provide an email you wish to be reached at (Please double-check that your email is correct)

Ethnicity

Contact Number

By providing your mobile number you are agreeing to be contacted through this method, otherwise enter '0'

City of Meeting:

What city are you requesting for?

Requested Meeting Date

YYYY

Requested Meeting Time

Requested Meeting Duration

Incall or Outcall?

Should I come to you, or you to me?

Incall

Outcall (1.5-hour minimum)

Preferred method of verification

Work Website / LinkedIn / Independent Reference(s)

LinkedIn or reference(s) from an independent companion you have seen within the last 6 months will also be accepted. Provide your LinkedIn URL / work website and /or up to 2 references in this box, otherwise, leave this part empty.

How did you find me?

Anything else?

Do you have any special requests? (Ex. No perfume, dress down, light makeup, etc)

I understand that a 25% deposit may be required to confirm an appointment. (New Clients Only)

I Accept

Returning Client

Booking Form

Elena Payne