• Irene Boss
  

Appointment Request.

Please note that no illegal activities are implied or provided. A successful and rewarding scene encounter is based on a strong foundation of mutual trust. Fill out this form to the best of your ability.

Complete all fields marked with an *

Contact Information

1. Your Name*
2. A landline or cellular phone number where you may be discreetly reached if I deem it necessary to contact you*
3. Date of Birth*
4. E-mail Address*
   
5. City*
6. State*
7. Country*

Scene Information

1. BDSM Interests*
2. BDSM Limits*
3. Scene-relevant Medical Issues*
4. Describe Your Play Style*
5. Your Optimal Scene Length: There is generally a 2 hour minimum. Deposit required. All valid major credit cards are accepted.*

Previous Experience

1. BDSM Experience Level*

Requested Dates

1. Dates You Will Be In Pittsburgh to see Ms Boss (or a city Ms Boss is traveling to with the name of the city in your introduction)*

Thank You for Your Information

1. You will receive a response soon via email if your inquiry is deemed sincere.
   
   A deposit will be required after an appointment time has been arranged. The appointment will be written down once the deposit has been received. You will receive preparation instructions and directions to the studio earlier on the day of your first appointment.
   
   Your information will be submitted via this secure form and is encrypted for your privacy.
   
   You will need to respond within 24 hours to the reply you will receive, or your information will be deleted and you will need to submit this form again.
   
   Thank you for your inquiry.