BookingForm

Noteworthy:

Confidentiality and privacy are my utmost priority. Discretion will never be compromised.

All information submitted is automatically deleted after 7 days.

A 20% deposit will be required to secure my time.

Cancellations within 3 days notice will require a 50% cancellation fee.

Cancellations within 48hrs will require a 100% cancellation fee.

If you do not hear back within 24 hours, you may follow-up with my assistant Laura at: MeetDaniCarrera@protonmail.com

- My Secure Booking Form -

- About You -

Full Name:

First Name

Last Name

Age:

Ethnicity:

Resident City & State:

Occupation:

Tell me about yourself... (I like well written introductions!)

- Contact Information -

Email:

A @protonmail.com account is preferred for end-to-end encrypted communication.

Phone Number:

I will never call or text without your permission.

Country

(###)

###

####

Preferred Method of Contact:

Phone Call

- Booking Details -

Preferred City:

Preferred Location:

Outcall Location (if applicable):

1st Preferred Date & Time:

2nd Preferred Date & Time:

Preferred Duration:

Would you be interested in one of my friends joining us?

Special Requests:

- Verification -

Please choose which verification method is best for you: 3 references, P411 or Employer Screening.

3 References:

Please only list independent models with a website & email. Include the approx. date of when you last met.

P411 Handle:

Please also login and send me a message or an Appointment Request.

Employer Verification:

Company, Title, Website, AND LinkedIn

Cancellations within 3-7 days notice will require a 50% cancellation fee. Cancellations within 48hrs will require a 100% cancellation fee.

By checking this box, I have read & agreed to Dani's Cancellation Policy.

Where did you find me?

Please share your source where you found me!