Visit my Homepage and website for more info about me and my sessions

I want to travel here often. 

 March 5 - March 13  2012

Please email me this FORM, click here or scroll to below and cut and paste. 

You could try to call me, but you must still provide me with the details in the form. 

My U.K. number while I am in Europe only:

07592 727701

I accept VISA, Mastercard and PayPal.  Prefer cash.

I most of the time require a hold on a credit card (this is NOT a charge), or see notes beneath.
($100 fee pr. hr for cancellations if inside 24 hrs.).
 

If the email form doesn't work for your email system, then email me: Amahata at  gmail.com.
And fill this out:

1. ALL the time frames you can see me (i.e.: 12/03: 10am-4:40pm and 12/05: 6-9pm. etc.). (My usual hours are 10am-10pm):

 2. Length of session?

3. What is your intention (focus) for the session?

4. Incall or outcall?  (Sometimes I do outcall, and there might be a fee.  Make sure I am in your area). 

5.  a)Your ph #, (with any instructions), for me to call you to do the hold on your card etc.. IF not, please provide me with any of the following:

b) A therapist's ph #, which you have seen more then once (and I can actually verify).
OR
c) Ph # to your work where I can get a hold of a secretary.

6. Which city is this for?

 
Please note if you only give me ONE time frame, or a time frame where I cannot see you, do get back to me, as I might think that is the ONLY time frame you can see me!  (I get too busy at times to chase people).  You can also call me at the phone provided in my ad or this web page (sometimes I have a diffirent ph number when I travel).

(my U.S. phone text could work, but not always +).