Contact A Co-Ed
Contact Form

 You are welcome to contact email me directly with any questions here: or just fill out the screening form below to set up a date! The best way to reach me is via email and I respond to ALL email inquiries and contact form submissions within 24hrs.

Remember I am selective about who I choose to see and I limit myself to seeing only a few clients each month. While this is far from the industry standard, I feel that my self imposed limits allow me to enjoy each encounter more thoroughly because I am able to focus on the needs of each client and create a personalized, relaxed and sensual atmosphere.  

As of Sept 2016 I am permanently back in LAS VEGAS!  
Please fill out my form as completely as possible, preference with be given to those who provide all requested information. If you are seeking a same/next day date you must fill out everything to be considered. If you are uncomfortable giving out any info through this medium please email me the requested info directly!

After Submittal you will be redirected to the homepage! 
First and Last Name:
Date and Time you would like to Meet:
2nd Choice Time or Date:
Hotel Where You'll be Staying:
Length of Session Desired:
 How Did you find Me?:
 Are you a TER or P411 Member? Yes No
 If Yes, What Is Your TER or P411 ScreenName:
 Do You Post Reviews? Yes No Maybe
 City and State of Residence:
Email Address: (REQUIRED)
Phone Number: (list any restrictions)
Please list Age, Race & Brief Physical Description :
Have you Seen a Provider in the past 2 years?: Yes No
 If YES Please Provide her Contact info:
(Email, Website or Phone # with date seen)
 If NO Please Provide Employment info:
(A Link with your name on your company Website or your direct phone number that I can call after hours.)
Please list any Questions or Special Requests Here:
By Clicking "Submit" you agree you have read & will abide by my 36hr Cancellation Policy. After Submittal you will be redirected to the homepage!