CONNECT - VIENNA VIPER

Skip to content

HOME » CONNECT

LET'S CONNECT

Complete the following form in full and I’ll get back to you so we can make plans. I’m excited for us to meet!

Name

First

Last

Email

Phone Number

Profession

Please include linkedin, professional website, or description of role.

References

All references must include provider ad or website and contact information. If you do not have any, write "I have no references".

Where are you located?

When is convenient for you?

Please provide 1-3 dates + times that work for you.

Location preference

Incalls may require hosting fee. Outcalls require deposit and compensation for travel.

Location details

If you have a preference of neighborhood or already have a room booked/ are hosting please share the location.

Length of session

Please describe your hopes for the session and relevant details I should know.

Some requests require additional compensation if not something I already own or have access to.

Do you require any physical, emotional, or mental health accommodations? Please describe

Ex. Accessibility, light/noise sensitivity, COVID precautions, allergies, assisted device communication, special considerations

Please send your Photo ID to my email datevienna@proton.me before submitting this form.

Yes, I did it already.

Email must match the address you listed above.

Type below: "I, (YOUR NAME HERE), acknowledge that I have read and understood the protocols listed on this website, including screening, deposits and cancellation fees, hygiene expectations, etiquitte and and boundries."

Would you like to subscribe to my email list for news and updates?

Yes