Fetish Mia Von
Online Reservation Request

This form is only seen by Mia. Forms are not stored or retained for long periods of time. Please only fill this form out if and when you are ready to book a reservation. You may be requested to fill it out again if you wait to long to book your reservation after completion of your form.

Call Me:
You do not have to wait to recieve a reply to this form, you may call anytime Monday-Saturday between 10am-10pm to make your reservation after you complete this form at 202-709-5634 or (NO calls after 10pm please).

Answers are required if you see an (*) Astrid. If you have an issue with this form please do email Me directly to fetishMia@gmail.com with an introduction.

1 days notice is required for ALL appointments from the moment you call NOT from the moment this form is completed. You MUST call to complete your reservation.

Thank you and I look forward to our rendezvous.
  • You do not have to put in your full name if you do not wish. You may use your first name and last initial.
  • Please make sure your email is correct.
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    You may include your number in the event you wish to have me call you (I still request you attempt to reach Me first)
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    Remember a minimum of a days notice required. I do not accommodate same day appointments.
  • My homebase location is in the DC/Northern Virginia area. The other locations indicated are places that I typically tour to if you would like to see me at one of the other locations make sure that you pay attention to my touring schedule. Keep in mind one touring I do require a 50% retainer at the time of booking.
  • I have been fully vaccinated.

  • Check all that apply in what you may want to explore. If you do not see something on this list include it in the comments at the bottom of this page.
  • If you desire a session duration or type you can not find here please include it in the comments section at the bottom of this page.
    Make sure you read the sessions page at FetishMia.com to make sure you understand what each session offers if you are selecting a special package.
    Rates in other cities that I am touring in will be different please keep that in mind.

  • I have a variety of Lingerie and fetish attire and will do My best to accommodate your requests. If you would like to see Me in something specific you are welcome to select something from My wish list to wear during our time together.

    (Please note for public dates I dress appropriately).

    My wish list. https://www.amazon.com/hz/wishlist/ls/54M3ACYIZ8W9?ref_=wl_share
  • Please let Me know what specific beverages you would enjoy during our time.
  • This gives Me an idea of what fragrences you may find appealing on Me.
  • This is a good place to tastefully describe what you find the most appealing about me, this will help me accentuate these attributes when we meet. (Please keep it tasteful).
  • Failure to respect boundaries during your appointment will end your time without a refund.
  • Please include anything additional that you needed to add here or you may tell more about yourself and what you desire here.