Contact

I'm not next door

Name(Required)

First Last

Email(Required)

Phone

Contact Method(Required)

Text Message

Date of Birth(Required)

Are you vaccinated against Covid-19?(Required)

Yes

How would your friends describe you?(Required)

Session Type(Required)

Session Duration(Required)

Requested Date(Required)

Requested Time(Required)

Alternative Date(s) / Time(s)(Required)

Screening(Required)

$100 per hour of booking via secure credit card payment with Square

$100 per hour of booking via e-Transfer deposit

$100 per hour of booking via cash deposit mailed to Charlee's P.O. Box (for this option, a photo of your ID is also required).

You will supplement your deposit with ID, a provider reference, and/or a LinkedIn or other professional profile.

Deposit is required via e-Transfer or cash.

Provider References

Please provide website or twitter links.

LinkedIn Profile URL

Review Board Handle

Where did you find Charlee?(Required)

Special Requests or Considerations?