Make an appointment with me

To go on a date with me, I kindly ask you to fill out the form below.

After sending you will receive a written reply from me.

Your personal information is only to confirm our appointment and will be treated with the utmost discretion.

If you have any special require, im happy to hear that from you :-).

Contact by mobile or WhatsApp: +32 494 88 02 05 “i don’t answer blocked numbers”.

If i don’t pick up immediately, please leave a message and i will get back to you as soon as possible.

Im looking forward to our date!

Jennifer Xx

 

Name: (mandatory)

E-mail: (mandatory)

Phone: (mandatory)

Date & city: (mandatory)

Amount of hours:

Please introduce yourself and what is important to you?: (mandatory)

“a 100% discreet service”