RESERVATION – Tiffany Madison

First Name *

Last Name *

Cell Phone *I will text you the date details and deposit instructions in this number.

Your Email *

City and State of Residency *

Age *

Ethnicity *

Linked In Profile or Business Website *

Duration *Dates of 3 hours or more must include food and some type of social activity, such as fine dining, a museum, a show, shopping, a romantic stroll in the park, you name it! Want to remain in intimate quarters for the entire duration of our meeting? Add +$250/hr.

Date *

Same-day dates are subject to availability.

Location *Outcall is preferred. Uber/Lyft both ways is required. Incall is also a possibility with full remuneration upfront for the room. If you prefer an even more decadent option with all arrangements taken care of, please add 1000.

Love NotesCouple dates are fun and are +$500 additional. Please let me know here on the love notes.

Time of Day *

Hours

Minutes

Dates ending after 1 AM are subject to availability and are +$500 additional.

Address *City and state where you would like to meet me or address of your outcall location.

Deposit *

How did you find me? *

5 minutes of FaceTime (+$150 additional)If you would like to FaceTime for 5 minutes for verification purposes only and absolutely not mandatory or complimentary.

You understand that: *25-50% non-refundable deposit is required for all encounters. Balance is due at the start of the date regardless.

Phone NumberPhone Number

EmailEmail

City of interest?City of interest?

Where did you find me?Where did you find me?