Let’s meet.

All new friends are required to submit light screening. Please fill out the booking form below or send me a detailed email with the requested date, time, length of booking and your screening information.

** Verification information is always destroyed once approved. I value discretion and safety for both myself & my suitors.

Legal Name

First Name

Last Name

Phone

(###)

###

####

Preferred Date

YYYY

Preferred Length

Preferred Start Time

Are your dates flexible? List your full availability (dates, times)

Type of Booking

Work Information / LinkedIn

link to your LinkedIn profile or professional website with your information listed.

http://

Companion Reference #1

Name, link to website and email of your recent reference. (Past 12 months)

Companion Reference #2

How did you find me?

Message

Please type me a message introducing yourself and any other information you'd like me to know about the booking.

Let’s meet.

Mia Figueroa | Las Vegas

Contact