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Derby Escort Online Booking Form

 

Please use the form below to make an appointment with Derby Escort.
Only use the Derby Escort Online Booking Form for bookings more than 24 hours in advance.

For same day bookings call my agent on 07957 79 79 69.

 

 

* Your Name:   If in a hotel, ensure this is the name the room is booked under.
     
* Your Email Address:   Confirmation of your appointment will be emailed to you.
     
* Your Contact Number:   So I can contact you if needed.  If your have any time preferences, add this to the instructions field at the bottom.
     
* Appointment Date:   Enter the date for your appointment. 
For same day bookings call my agent on 07957 79 79 69.
     
* Appointment Start Time:   Enter the time for your appointment
     
* Appointment Type: Outcall  I currently only provide Outcall appointments where I come to you.
     
* Length of Appointment::   Use the drop down list to select the length of appointment requested.
     
* Appointment Location:   Enter the location for the appointment in this box.  Please provide enough detail for ne to find the location, such as an address (including postcode) or a hotel name and room number.
     
* Payment Method:   I do not take payment by Debit/Credit Card at the moment.
     
Instructions / Notes / Special Requirements:   Please enter any additional information, such as detailed location directions, special requests such as a fantasy appointment or a request for me to dress, or notes like 'meet me in the bar as the lift requires a room keycard to work'.
     

* - Mandatory Field

 

    

 

 

My agent will email confirmation of your booking to the email address you provide.