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Get in touch with Mademoiselle Marie

Germany: +49 (0) 176 35491608
UK: +44 (0) 7887 835754
All information will be treated strictly confidentially.

Please give me:

- the date, time and duration of the meeting you wish
- the name and address of the hotel where you
  want to meet me
- a convenient time to call you back, if necessary
- your special wishes (clothing or the like)
- a brief description of yourself (age, height,
  weight, smoker/non-smoker, individual wishes etc.)


This request will remain without any commitment until our common confirmation.

Name / Name / Nom

Strasse / Street / Rue

PLZ+Ort / ZIP Code+City / Code Postal+Ville

E-mail / email / e-mail

Telefon / Telephone / Téléphone

Deine Anfrage / Your Request / Ta Demande

Dein Foto / Your Photo / Ta Photo (optional/optionelle)

Spamschutz


Diese Zeichen bitte hier eingeben:



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