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

Please note that I am no longer doing outcall appointments at this time.

For Keisha's Availability Schedule click here

Los Angeles rates click here

Very important!!! Be sure you have read my cancellation policy. 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.

Please refrain from any sexually explicit language or requests. Sexually explicit language or requests will result in being banned from booking an appointment.

Serious inquiries only. Please do not fill out this form unless you are serious about booking an appointment and are ready to pay for your appointment within 24 hours if you are paying in advance. If you are not ready to pay for your appointment within 24 hours, please wait to fill out this form until you are ready to make your payment within 24 hours.

Keisha's current working schedule is Friday and Saturday from 5pm - 7pm. (for 2 hour appointments)

If you would like a 3 hour session, your appointment will start at 4pm, and if you would like a 4 hour session, your appointment will start at 3pm.

Her schedule is booked at least one week in advance, so please plan ahead and book your appointment one week ahead of your desired date.

Appointment Request Form - Keisha - Los Angeles

First and Last Name*

Email Address*

Verify your email address:*

Phone Number*

Verify your phone number*

In which city and state do you currently reside*

What is your occupation?

Age and Date of birth*

Please give a brief physical description of yourself, and please send a face photo of yourself to*

How will you pay for your appointment (Newbies must pay in advance)*

How long would you like your appointment to be?*

Cancellation Policy: Appointments must be paid for in advance. If you need to cancel your appointment, you have up to 6 months to reschedule your cancelled appointment. No refunds.*

What day of the week would you like to see me? *

Select an option

What date would you like to see me?*

What time would you like to see me? *


If your first choice of date and time are not available, what other dates and times would you be available to see Keisha (Don't skip this!)*

Please tell me a little bit about yourself*

What attracted you to me and why would you like to see me?*

Provider Reference #1 - Name, website, email address and phone number. If no referenes put N/A*

Provider reference #2 - Name, website email address and phone number. If no references put N/A*

How did you find me?*

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