Contact 1 — Airi Ueda

Gentle Reminders

Please read my considerations section before submitting a form. Forms that do not fit requirements will not be considered.
A longer ‘about you’ gives me more insight into who you are, building anticipation.
Screening requires: a government photo ID or LinkedIn profile.
Longer dates take priority in my schedule.

I can’t wait to melt together…

Name

First Name

Last Name

Email

Phone

Country

(###)

###

####

Preferred method of communication

Preferred date

Please add alternate dates in the additional information section

MM

DD

YYYY

Preferred time

Please add any alternate times in the additional information section

Hour

Minute

Second

Duration

Location

A little about you

What do you do when you're alone? How do you relax? What is one shower thought that plagues your mind?

Additional Information

Proposed date itinerary, or anything you'd like me to know.

Type of screening

Which of my accepted types of screening will you provide?

Type of deposit

Which of my preferred type of deposit will you provide?

Where did you find me?

Etiquette: deposit and cancellation

I understand and accept Airi Ueda's full "Etiquette" page, including the deposit and cancellation policy.

Yes