RESERVATIONS
Schedule Our Future Meeting
Established Friends
If we've had the pleasure of meeting before you can text me or email me at
Chantel@ChantelEtoile.com
to receive the link to my calendar.
New Friends
Please fill out this form in its entirety. This will speed up any verification process and ensure you get the date and time requested.
First and Last Name
*
Please include your FULL last name. Listing just your initial will receive no response from me.
Email
*
Resident City and State
*
Age
*
Contact Number
*
Preferred Method of Contact:
*
Email
Phone
Text
Have you read the etiquette information?
*
No
Yes
Have you reviewed my time requirements?
*
Yes
No
Details for Our Meeting
Have we had the pleasure of meeting before?
*
**Please note, if this is our first encounter you must complete one of the screening options below, or your request will go unanswered.**
Yes
No
Requested Date:
*
Who is hosting our meeting?
*
I will be hosting in my upscale hotel
I need discretion and would prefer you host
Location of Meeting:
*
Please list the city in which our date will take place. If outside of Florida please list city and state
Preferred Time:
*
*Once you have been thoroughly screened you will be able to secure your requested time and date via my discreet calendar
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AM/PM
Duration of Meeting:
*
Please make sure you select the proper time allowed for your city.
Up to 1 Hour - $500
90 Minutes - $750
2 Hours - $1,000
3 Hours - $1,000
4 Hours - $1,500
Up to 6 Hours - $2,000
Overnight
One Day (24 Hours)
48 Hours
Up to 3 Days
Fly Me To You (package discussed via email)
Screening
Option 1: Provider References
Please provide the name, email, and website address (or link to ad), and contact number for 2 reputable companions you have had a date with in the past 6 months.
Reference #1 Name, Email, and Website (or ad link):
Reference #2 Name, Email, and Website (or ad link):
Option 2: Preferred411 Verified?
Please send me a message in P411
Option 3: Employment Verification
Please complete this section if you can not be verified via the previous options. Any information left blank can cause a delay scheduling our meeting.
Company Name and Link to Company Website:
If you are featured on your company's website please link to that specific page.
Your Position/Title:
Main Company Telephone Number:
Your direct line or extension:
Phone etiquette/Cover story
What would you prefer I say when I call for verification? Feel free to get creative! **Calls will come from a dedicated number that I only use for verification. This phone number is not listed anywhere on the internet and registered to my discreet business.
Have you reviewed my cancellation policy?
*
It's at the bottom of the etiquette page. Now is a good time to review it if you haven't!
Yes
No
Additional Comments
Feel free to include any additional questions or comments that you may have. Or you can send a lovely introductory note so I can know more about you!
Personal Photo (optional)
Where did you find me?
*
I'm interesting in finding more wonderful clients like you! Please help me by letting me know where you found my website.
Eros
P411
Slixa
The Erotic Review
The Hidden Pages
Twitter
Other
Verification
Please answer the question below for spam protection.
*
What number is a quarter of a century?
This box is for spam protection -
please leave it blank
:
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