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of me requests?
Name
*
First
Last
Email
*
Phone #
*
Date of Birth
*
Preferred Contact Method
*
Phone (Call)
Phone (Text)
Email
Tell me a little about yourself
*
Hobbies, pet peeves, guilty pleasures?
Session Type
*
Select
King Treatment (6 Hrs)
Petite Dinner (3 Hrs)
Sip & Paint (2 Hrs)
Just Persephone (Incall)
Just Persephone (Outcall)
Duo (Incall)
Duo (Outcall)
Couples (Incall)
Couples (Outcall)
FMTY / Bespoke Travel
Baecation (72 Hrs)
Session Length
*
Select
1 Hour
1.5 Hours
2 Hours
4 Hours (Dinner Date)
12 Hours (Overnight)
FMTY (Bespoke)
Something Else
Preferred Date
*
Preferred Time
*
Alternative Dates
*
If original date is not available
Screening Preference
*
Select
Photo ID
LinkedIn
2 Provider References
Upload ID
*
Click or drag a file to this area to upload.
Name, picture and DOB must be visible. Everything else can be blurred.
LinkedIn
*
2 Provider References
*
Include Providers' names, contact info and websites
How did you find Persephone?
*
Any special requests?
Outfits, snacks (other than myself), etc
Acknowledgement
*
I understand Persephone's cancellation and deposit policy
Method of deposit
*
E-gift card
E-transfer
To be sent to persephonegrace1@gmail.com
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