Keisha - Sacred Sensual Healer and Sex Coach -
MAKE AN APPOINTMENT
WITH KEISHA

If you would like to make your appointment for Los Angeles, please fill out the appointment request form below.  If you have any questions, please email my assistant Heather at meetkeisha@gmail.com.  Please read the website thoroughly before asking any questions because some of your questions might be answered just by reading the site.



Happy Hour Special!!! October 2017
2 hours - $600  
($300 dicount)
Los Angeles Incall only for appointments starting between 12pm and 7pm


Very important!!!  You must fill out this form thoroughly.  If you do not agree to the cancellation policy, your appointment will automatically be denied.  By filling out the appointment request form, you are agreeing to my cancellation policy.

You must have 2 references within the last 12 months.  If you do not, you will be required to pay for your appointment in advance via PayPal, credit card or postal money order via overnight mail.

Also, this appointment request form is for appointments with Keisha only.  For appointments with Nina Hartley, please click here 


Appointment Request Form - Keisha - Los Angeles
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First and Last Name
Email Address
Verify your email address:
Phone Number
In which city and state do you currently reside
What is your occupation?
How old are you?
Please give a brief physical description of yourself
Would you like incall or outcall?
Incall - (you come to Keisha's Tarzana location)
Outcall - (Keisha comes to your hotel)
How will you pay for your appointment (newbies and outcall must pay in advance)
Cash on arrival (must have 2 current references)
PayPal or Credit Card in advance
Cash or U.S Postal money order via overnight mail
How long would you like your appointment to be?
1 hour
1.5 hours
2 hours (recommended)
3 hours
4 hours
What day of the week would you like to see me?
What date would you like to see me?
What time would you like to see me. Happy Hour Special only good for appointments starting between 12pm and 7pm
Hours
 
 : 
Minutes
 
Please tell me a little bit about yourself
What attracted you to me and why would you like to see me?
Please read my cancellation policy and write here that you agree to my cancellation policy
Escort Reference #1 - Name, website, email address and phone number
Escort reference #2 - Name, website email address and phone number.
Are you a member of the Erotic Review, Preferred 411, Datecheck.com or www.roomservice200.com. If yes, please give details
How did you find me?
ErosGuide.com
TheEroticReview.com
SacredEros.com
Search Engine
Other