Rachel Luxury Companion

Screening

All Invitations and Introductions must go through my Website First , after you have completed pls let me know via e-mail .

If you prefer to introduce yourself trough my email, pls copy &paste all the questions from the screening -form and send to: [email protected]

Looking forward to connect with you and plan our amazing date.

Thank you

Rachel

* Required Field

About You

Name *

City *

Age *

Ethnicity *

Occupation *

Company *

City

Contact Information

Preferred e-mail to be contacted ( pls check your spam box also in case you don’t see my message ) *

Work e-mail to be very discreet verified (I will never contact you witout your permission )

Picture of ID / your business card

Verifiable phone number just for verification (I will not call and only communicate via e-mail) *

Best Times to call *

Appointment Details

Preferred Dates/Times *

Preferred Location *

Preferred Length *

City *

Traveler to this Area *

References

Names and contact info of providers you've seen before, and any forum usernames or handles

How did you hear about me *

Answer this question to prove you're human: