Book a Session with Lady Vixie
Name
*
Email
*
Have you seen a Professional Dominant before?
*
Yes
No
If yes, provide their professional name and city
Desired length of session
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1 hour
1.5 hours
2 hours
2.5 hours
3 hours
3+ hours
What day(s) work best for you?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time(s) work best for you?
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Morning
Afternoon
Evening
Late
Any specific dates/times you prefer?
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Yes
No
If yes, please specify
Interested in booking an additional provider?
*
Yes
Yes (need recommendations)
No
If yes, provide name(s)
Describe interests/activities/desires
*
Describe any boundaries and/or hard limits
*
Do you have any disabilities, health conditions, allergies, or emotional triggers?
*
Yes
No
If yes, please specify
Preferred Payment Method
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Zelle
Gift Card
Cryptocurrencies - Bitcoin, Usdt etc.(Recently added for faster Payment)
I understand that this form does not guarantee a session until deposit/screening is complete.
*
Submit Request