Are You Screening or Booking? *

I AM SCREENING

I AM BOOKING

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Desired Date

MM

DD

YYYY

Desired Start Time

Hour

Minute

Second

AM PM

Incall | Outcall

Incall

Outcall

FMTY

Verification Photos (Screening)

Please send photos to my email

AmeenaBeMinesSF@protonmail.ch

N/A

*

1) You understand that I require a deposit for all new encounters)

2) You understand my rates are non-negotiable

3) You understand my services are non-negotiable