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Contact & Screening

Ready to schedule our first session? Simply copy & paste the form below into an email or message, fill out, send to me...and I'll get back to you within 24hrs :)

 Inquiry@simplynatalie.ch

774-314-2291

(Please Note: ALL fields must be filled in correctly in order for me to verify you)

Personal Details

FIRST NAME:

LAST NAME:

AGE:

CITY/ST YOU RESIDE IN:

EMAIL ADDRESS:

PHONE NUMBER:

SESSION DATE:

SESSION TIME:

SESSION LENGTH:

MY PLACE OR YOURS?

(please specify hotel or residence for outcall):

CITY/ST YOU WANT TO VISIT ME IN:

 

Verification Details (please provide at LEAST one)...

REFERENCES (must list their website and email):

LINKEDIN PROFILE:

WORK WEBSITE AND EMAIL:

LICENSE PICTURE: