Booking Form

1
Name:* This field is required.
First
Last
2
Email:* This field is required.Be sure this is spelled correctly- I will be contacting you through it.
3
Phone number:* This field is required.Solely used for screening, I only communicate via email.
4
LinkedIn, workplace name, or P411 client ID:* This field is required.
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Ok
5
Birthdate:* This field is required.
Date
Month
Day
Year
6
Meeting location:* This field is required.Current location on giageneve.com/calendar
Select an option
Select an option
FMTY
Austin outcall
Tour outcall (2hr minimum)
Austin incall (+100)
Tour incall
Different city / sponsored tour
7
Specific location:* This field is required.Address, city, hotel name, etc.
8
Requested duration:* This field is required.
48 hours- 10000
24 hours- 6000
12-14 hours- 4000
6-8 hours- 2500
5 hours- 2200
4 hours- 2000
3 hours- 1800
2 hours- 1500
90 mins- 1000
1 hour- 800
9
Date duration:* This field is required.4 hour minimum for Texas cities and 6-8 hour minimum for other states.
48 hours
24 hours
12-14 hours
6-8 hours
5 hours
4 hours
Travel costs apply.
10
What did you have in mind for our date?* This field is required.For longer dates social activities/dining should be involved. If you have public discretion concerns please let me know and I'm happy to get creative.
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11
Requested date/time:* This field is required.
Date
Month
Day
Year
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2
3
4
5
6
7
8
9
10
11
12
Hour
00
15
30
45
Minutes
PM
AM
PM
12
Payment method:* This field is required.E-payment includes a fee and must be arranged in advance.
Cash
Bitcoin
Electronic/card
*I do not accept Venmo/Cashapp.
13
How did you find me?* This field is required.
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Please introduce yourself and leave any comments, details, or requests:* This field is required.
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Ok
15
Tags
[object Object]
Should be Empty: