London: +44 7077 080 500
Dubai +44 7796 102 079
Asia: +852 8179 9500
Australia: +61 406 621 001

For operating hours check our contact us page

USA Reservations Form


We require 24hrs notice for all USA meetings - please fill out a reservation form below with the details of your request and one of our friendly staff will get back to you
 
** Cancellations & date/time changes made within 24hrs of your confirmed meeting will incur a $100 re-booking fee on top of any future meeting **
 
*Represents Mandatory field(s).
Select country : *
First and Last name : *
Email : *
Contact Phone Number : *
Atlantic Members Username :
Resident city & State : *
Review site Handles (TER, Bigdoggie, 411, RSK etc) :
If you are not an Agency Atlantic Member you will need to provide the information in either Option 1 or Option 2

Option 1

Companion References :
References from 2 ladies or agencies who are well reviewed on C69 or TER - contact name, website, email & reviews link - references may take up to 48hrs to verify
Reference 1 :
Reference 2 :

Option 2

Employment Information
Please provide employment details below for screening purposes
Company Name:
Position/Title:
Company Web Site:
Main Company Phone Number:
Your Direct Line or Extension:
Do you have a cover story we should use when phoning you:?
Security code : *
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