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Want to meet me?
Hi there, It's me Cordelia. Please fill out and submit this form.
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1
My legal name is...
*
This field is required.
First Name
Last Name
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2
You can reach me by email at...
*
This field is required.
example@example.com
Once more for good luck
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3
A little about you...
Tell me about you and how you'd like to spend our date!
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Ok
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4
What are the dates and times you'd like to meet?
*
This field is required.
Give me date options and the time you'd like to get together
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5
Looking to meet for this many hours...
My recommendation for first-timers in 5 hours. This way we can take our time getting to know each other.
Please Select
2 Hours (Minimum)
3 Hours
4 Hours
5 Hours (My Recommendation)
A Clockless Night
A Clockless Day
24 hours
48 hours (Weekend Getaway)
Bespoke
FMTY
1 Hour Meet-And-Greet (Non-intimate)
30 Minute Virtual Call (Non-Intimate)
Please Select
Please Select
2 Hours (Minimum)
3 Hours
4 Hours
5 Hours (My Recommendation)
A Clockless Night
A Clockless Day
24 hours
48 hours (Weekend Getaway)
Bespoke
FMTY
1 Hour Meet-And-Greet (Non-intimate)
30 Minute Virtual Call (Non-Intimate)
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6
I'd like to be verified using...
*
This field is required.
You must select one of these methods to be verified or we won't meet.
Please Select
Selfie with your photo ID
LinkedIn with 200+ connections
Companion Reference
Please Select
Please Select
Selfie with your photo ID
LinkedIn with 200+ connections
Companion Reference
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7
Selfie with your Photo ID
*
This field is required.
This must be a selfie with your photo ID that clearly display's your name, DOB, and photo (you may redact ID number and address for privacy)
Drag and drop files here
Select files to upload
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8
Please send the link to your LinkedIn profile here
*
This field is required.
It should match your name and you must have many active current connections.
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9
Companion Reference
*
This field is required.
Must have seen within the last year. (Please let them know ahead of time that I will be in touch.)
Companion Name
Companion's Email
Companion Website or Ad
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10
I am located in...
*
This field is required.
I do not offer in-calls
Toronto
Vancouver
Montréal
Ottawa
Calgary
USA
Europe
Other
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