Booking Form

1
Screening terms & conditions* This field is required.To review your form, a $50 screening fee is required. Please send it as a gift card from my wishlist. If your info can be verified, this fee will be applied to our date.
2
Name:* This field is required.
First
Last
3
Email:* This field is required.Be sure this is spelled correctly- I will be contacting you on it.
4
Phone number:* This field is required.No burner numbers. I do not contact via phone number.
5
LinkedIn, workplace name, or other work verification:* This field is required.You can also include references if you have any.
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Ok
Ok
6
Birthdate:* This field is required.
Date
Month
Day
Year
7
Meeting location:* This field is required.Current location and tour schedule on giageneve.com/calendar
Select an option
Select an option
FMTY
Austin outcall
Austin incall
Tour incall
Tour outcall
Sponsored tour to your city
8
Specific location:* This field is required.Address, city, hotel name, etc.
9
Requested duration:* This field is required.
48-72 hours
24 hours- 7500
12-14 hours- 5000
8 hours- 4000
6 hours- 3500
4 hours- 3000
3 hours- 2500
2 hours- 2000
90 mins- 1500
1 hour- 1000 (tour only)
10
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.
11
What did you have in mind for our date?* This field is required.For longer dates, social activities/dining should be enjoyed.
0/0
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Ok
12
Dates/times that work for you: * This field is required.
13
How did you find me?* This field is required.
14
First impressions mean a lot! Please introduce yourself and leave any extra comments:* This field is required.
0/0
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Ok
15
Tags
Todo
In Progress
Done
Should be Empty: