EmailMe Form - The Madam Mason Experience

Choose your location *

Chicago Application deadline: August 8 or when the room fills

New York Application deadline: August 15 or when the room fills

Houston Application deadline: August 29 or when the room fills

Atlanta Application deadline: September 5 or when the room fills

Choose Your Experience *

VIP - $3500 - Limited to 5 per location

General Admission - $2500

Name

First Last

Age *

Email

Phone

### - ### - ####

Current marital status *

Never married

Divorced

Widowed

Do you want to be married? *

Yes

No

Open

When was your last date? *

What do you understand femininity to be? *

Describe your relationship wth youreslf. Not what you want it to be. What it actually is, and what you believe is producing it. *

Describe your current relationship with men. Not what you want it to be. What it actually is, and what you believe is producing it. *

What does the dark feminine mean to you, and where do you feel it in yourself? *

What do you feel you need to let go of to become a desirable woman and have the life you want? *

This Experience is not a workshop, a coaching session, or a space for basic questions about men. If you are still wondering: why hasn't he called, where are the good men, or what do I do if he does not make plans, this afternoon is not for you yet. Knowing that, tell us in your own words who you believe this afternoon is for and why you are her. *

Please upload a current photo of yourself, and share your Instagram and any other social media handles. This room is small and intimate, and we like to know each woman who will be in it.

File Upload *

Social media platforms *

Disclaimer

Submission of this application does not guarantee acceptance into The Madam Mason Sensual Summer Experience. Each city is limited to twenty women, and applicants are selected at the sole discretion of Madam Mason and the Madam Mason team.

If accepted, I will receive a link to complete payment via email and text. My seat is not secured until payment is completed in full. Applicants who do not complete payment within 72 hours of receiving the acceptance link forfeit their spot, which may be offered to a woman on the waitlist.

If accepted, my payment is non-refundable, non-transferable, and non-exchangeable except as offered at the discretion of the Madam Mason team. This includes but is not limited to changes in personal circumstance, travel disruption, illness, or any other reason preventing my attendance.

Signature *

Clear