If you are reading this page it means that you have read through other parts of my site and are interested in the idea of booking a special outing with me. I am excited about getting to know more about you so please take the time to read through the information on this page carefully.

The form below* requests you to fill it out by giving me your contact information. This is so that I can learn more about you and also protect our safety and privacy. As a discreet companion, I guarantee the utmost confidentiality so that we can enjoy our time without worry. And I also need to protect myself as well. I will never keep the information you submit once I have verified who you are and have gotten a chance to know more about you. Please note that all fields in the form are required except for the reference information. Reference information is helpful but not necessary.

Once you have submitted a completed form* I will send you an email and this will start our correspondence. After we have connected and have planned our outing I will require you to mail a deposit of either 25% or 50% of my gift rate, depending on the package you choose, in order to secure your special spot in my schedule book. As I see only a very few select friends, it is in your best interest to be prompt in filling out the form completely as well as mailing me the required deposit in a timely fashion if your intention to spend time with me is genuine. This way you will have been able to reserve your date with me and we can start planning our experience together.

My email is also provided below should you wish to e mail me with any questions or comments. Please do be advised however that in order to schedule a date, you will need to respond to the questions on the form as this is the process for booking a special experience with me. I am so excited about making a new friend and do hope to hear from you soon!

*PLEASE NOTE: I am currently having trouble with my form, so you may wish to copy and paste the below into an email to send me the information I request. I hope to have this issue fixed soon. Thank you!

Hugs and Kisses,

1. First name
2. Last name
3. Email address
4. Place of employment
5. Job Title/Position
6. Work number (main line)
7. Cell number
8. Date of encounter
9. Location of encounter
10. Duration of encounter
11. Reference name
12. Reference website
13. Reference email
14. How did you find me?
15. Tell me about yourself.

Please email to: sitaradevi(at)gmail.com