Full Name*

    Date of Birth*

    City of Residence*

    City of Session*

    Phone Number*



    Social Media

    How did you hear of me?*
    (Eros, Instagram, Twitter, be specific)

    Introduce yourself*:

    Interests and experience*:

    Provider Reference*
    (must include a website and email address or say none)

    Type of session* (in-person, phone, travel, etc.)

    Desired session length and date:

    Fun fact:

    Are you a member of my OnlyFans?*

    Have you read my FAQs?*

    I certify that:*
    I am over 21 years of age



    When you contact me be prepared with your verification information. I require at least one reference from a reputable provider in the adult industry (they do NOT have to be in the U.S nor BDSM specific). I will need their website and email. I suggest you contact them first to see if they will provide a reference.

    If this is not available I require a phone verification consultation. The consultation fee is $75 and must be paid through PayPal. I may also require social media profiles and/or employment verification.

    I will not see you in person unless you have been verified.

    If you are interested in lessons, hiring me as a model, custom videos, interviews, lectures, or domestic service you may email me directly at natalie@mistressnatalie.comMake sure to include why you are contacting me and an introduction.