Book Model

I can't wait to meet you!

Please begin by telling me a bit about yourself. This is a crucial step in building our relationship together.

This is an occasional activity for me. I only offer exclusive and discreet experiences.

💌You are welcome to send me a direct email with ALL required screening info from this form to LuxuryAiko@protonmail.com.
💸Deposit instructions will be sent after verification.
✅ Screening is required for all new friends! Safety and discretion are my top priorities. What you share with me remains confidential.

    Your Details

    * Full Name:

    * Email:

    * Telephone Number:

    * Ethnicity:

    * Resident City & State:

    * Occupation/Job Title:

    * Preferred Method of Contact:

    * Accept SMS Text / Voicemail?

    * Best Times to Call or SMS/Text:

    * Company Phone #:

    * Direct Work# or Extension:

    * Phone etiquette or cover up to use when calling?:

    Meeting Details

    * Meeting Type:

    * NURU Essentials:

    * Height/Weight (for NURU prep, I love all bodies):

    * Date of Booking:

    * Time of Booking:

    • :

    * Secondary Date of Booking:

    * Secondary Time of Booking:

    • :

    * Duration:

    * Incall/Outcall

    * Please provide your location name and address:

    * Please provide your location name and address including country & city:

    * Traveler To This Area?

    Special Requests?

    Screening

    1. Companion References
    Minimum of 2 references from companions you have visited in the last 12 months. Name, website, email + phone number.

    * Companion reference 1:

    * Companion reference 2:

    Additional Screening:

    2. ID + LinkedIn

    * ID (Photo of your I.D./Driver’s License/Passport – None expired):
    (Max file size 5MB, jpg, jpeg, png, pdf only)

    * Company Website Profile or LinkedIn Profile URL (must be viewable to the public w/photo):

    3. ID + Work Email

    * ID (Photo of your I.D./Driver’s License/Passport – None expired):
    (Max file size 5MB, jpg, jpeg, png, pdf only)

    * Work Email (that you will email me from):

    4. LinkedIn + Work Email

    * Company Website Profile or LinkedIn Profile URL (must be viewable to the public w/photo):

    * Work Email (that you will email me from):

    P411 (must have OKs):

    Business Card:
    (Max file size 5MB, jpg, jpeg, png, pdf only)

    Additional Information

    * How did you find me?

    * If other, please state below:

    Anything else you’d like to share with me (health conditions etc)?

    * By submitting this form, you confirm that you have read my website in its entirety, respect, and fully understand what is expected of you: