Meet Me | Valentine Vonbettie | Valentine Vonbettie

Name*

Last name*

Your email*

Phone Number*

Is it okay for me to text you?*

Yes

No - Email Only

When would you like to see me?*

Preferred Meeting Time (will confirm via email)*

Morning 9a-12p

Afternoon 12-5p

Evening 5p-9p

Late Night 9p-12a

Other Session Request

Location (May be subject to extra fees)*

Incall - Private massage studio (SE Portland)

Incall - Hotel or Lodging

Portland Dungeon - https://subrosapdx.com for more details

Tour Location Dungeon

Outcall - Hotel or Lodging

Your Home (Regular clients preferred)

Public Engagement or Outing

FMTY - Lodging or Resort

Other (clarify)

Other Location Request

Anything you would like to add? This can include accommodation requests such as scent sensitivities or discretion, accessibility needs, sensory needs, health or mobility needs, allergies (ex; latex), outfit requests, etc

Upon successful review of this form, I understand that I will be asked to complete this appointment request with a photo of a valid ID held up to my face and a nonrefundable digital monetary deposit. My deposit will be used to secure the physical location and / or time requested in which we will meet and is subtracted from the total sum of your booked meeting. I understand that this is standard professional practice by many kinds of service providers and especially important due to the sensitive nature of the time we are booking. I understand that my license cannot and WILL NOT be used for any reason other than to verify that I am who I say that I am. I have reviewed Valentine's cancellation and rescheduling policy.*

Yes, I consent to the above booking and screening policy

No, I do not consent to these terms and understand my form will be discarded

Let's discuss

Portland, OR

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