Booking

"*" indicates required fields

About You

Legal Name*

Or, if booking by provider references, the name by which they know you

Your Email*

Phone*

For screening purposes only. You will not be contacted via call or text.

Age*

Introduce yourself

Date Details

How long would you prefer to spend together?*

In which city would you like to meet?*

Which day and what time?*

Screening

Choose a method of screening

Established Provider References

Employment verification via LinkedIn

Government issued ID

Established Provider References

Two references from independent established providers. Please include their ad/site and email.

Reference 1

Name

Ad/Website

Reference 2

Name

Ad/Website

Employment verification via LinkedIn

Please upload a screenshot of your LinkedIn account logged in (If file upload glitches, please still submit the form, and email the screenshot directly to graceharlowpdx@protonmail.com)

Drop files here or

Accepted file types: jpg, gif, png, pdf, heic, bmp, jpeg, webp, jpe, doc, docx, txt, xls, xlsx, html, htm, odp, key, etf, wpd, heif, etf, msg, html, Max. file size: 12 MB, Max. files: 2.

Government-issued ID with selfie to match

Please upload (1) a photo of your government-issued ID (2) a selfie of you holding your government-issued ID (If file upload glitches, please still submit the form, and email the attachments directly to graceharlowpdx@protonmail.com)

Drop files here or

Accepted file types: jpg, gif, png, pdf, heic, bmp, jpeg, webp, jpe, doc, docx, txt, xls, xlsx, html, htm, odp, key, etf, wpd, heif, etf, msg, html, , Max. file size: 12 MB, Max. files: 3.

CAPTCHA

Fellow providers, you’re welcome to email graceharlowpdx@protonmail.com for references 🙂