Reservation Request

Before filling out my reservation form, please familiarize yourself with the etiquette required for our date. That page can be found HERE.

Please also be aware of my rates, which can be found HERE.

Ashley's Reservation Request Form
Fields marked by * are required.
1. Full legal name: *
2. Date of Birth: *
3. E-mail address where I can contact you: *
4. Phone number(s) where I can contact you: *
5. Is it ok to leave a message if you do not answer? * *
  • yes
  • no
6. Business Name, website, contact info, and your title and position please *
7. Anything you want to tell me about yourself.. defining characteristics, ideal date, etc?
8. Date, time, duration, model requested?
9. Model you can use as a referece? Please include her contact information.
10. By checking this box I verify that all the information above is correct. I understand that this information is shared ONLY with the companion. I understand that any misrepresentation of the above will result in immediate cancellation of our date, and no deposit will be returned. *
  • I understand and agree
11. By checking this box you acknowledge and agree that you have read and understand the rules of conduct/etiquettefor our time together: *
  • I have read and understand the etiquette required. By checking herein I am agreeing to follow such rules and etiquette for our time together.
 



* Please note that neither me, nor this website in any way represents an offer for anything other than companionship. Any money exchanged between the parties is for compensation of time only. All rates listed on this website are to be paid for the time spent with the paying companion. Anything else that may occur between the parties is a matter of choice between consenting adults and it is understood that it is not contracted for in any manner. Rates are strictly for time only as a professional companion. This is not an offer of prostitution. I do reserve the right to decline appointments if I deem necessary. I work independently and neither I nor this website is affiliated with any press, media or agency.