To book an appointment to meet me, please fill in the form below.

Alternatively you can contact me at the following E-Mail. Please Note that prior screening is required in order to secure a meeting. This is for safety and security reasons only; no private information is ever shared with third parties. This information is strictly confidential.


    Full Name:


    Phone number:

    Ok to leave voicemail or text?

    Yes, either is fineVoicemail onlyText onlyNeither

    Preferred Method of Contact

    EmailPhoneNo Preference

    Resident City

    Screening Service

    If you are a member of the following screening service, please provide the necessary details I need to verify you.

    Preferred 411

    Companion References

    Please provide the name, email, website address and contact number for at least two reputable companions you have spent time with within the last 3 months.

    Reference #1

    Reference #2

    Employment Information

    Please provide your employment information below

    Company Name


    Company Website

    Company Phone Number

    Your Direct Line or Extension

    Phone etiquette or cover to use when calling

    Appointment Details

    Please outline your appointment preferences below.

    Requested Date


    Location Address

    Miscellaneous Information

    How did you find me?

    Is there anything else you would like to tell me?

    Aurora Escort & Companion

    Aurora Escort & Companion