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Pleased to meet you...

Please fill out all required areas of the booking form. Screening is not optional and is for my safety.  Your information is treated with the utmost discretion and will be deleted immediately after the screening process.  

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For consideration, please be prepared to submit the following:

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Identity Verification:  In a separate email, please submit a photo of your fully legible government ID with your name, birthday, and picture fully visible.  This can be sent to miafiorelli@proton.me

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Employment Verification: Send a link to your endorsed Linked In profile. To verify this, you will receive a message from me, which you will in turn reply to.  If you do not have a Linked In, you may send in a work website that lists your name and a photo of you instead. 

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**You may screen using one method from above and two recent provider references (within six months) at my discretion. I do not accept references from providers I do not know personally. **

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One last thing...

Before sending in your info, please familiarize yourself with my FAQ

Select an option

Thanks for submitting!

Booking Form

Independent Companion © Mia Fiorelli 2025
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