Contact Me

If it has been more than ONE YEAR since you have seen me, you need to fill out this form as completely as possible.

Work info is needed ONLY if you are a NEWBIE and do not have solid provider references.  If you have refs, leave it out. You can even provide P411 info, but I prefer individual references as I am not on P411 and cannot search there. 

Please have a TIME and DATE in mind. I do NOT “PRE SCREEN”.

YOUR CORRESPONDENCE WITH ME SHOULD REFLECT THE FACT THAT I AM AN ELITE ESCORT AND A LADY.  CRUDENESS OR RUDENESS OR ANY MENTION OF SEX ACTS WILL NOT RESULT IN AN APPOINTMENT.

You must be over 35 and a non smoker.

My email is hil.h33@gmail…..for the ladies who need to email me for verification checks!

A $50 cancellation fee to cover the cost of screening. I will send you an invoice via email. 

 

 

Your Information

 

Employment Information

 

Referral #1

 

Referral #2

 

Appointment Details

 

Verification