EmailMe Form - Blackmail Application Form

Blackmail Application Form

Fill the following application ONLY if you are looking for CONSENSUAL BLACKMAIL. Do not leave any field blank. You MUST send a $200 payment before applying; If you don't, your application will be ignored. If accepted, you will receive a contract to sign.

What tribute method did you use?
You must send a payment of $200 dollars to katrinaxgoddess@gmail.com. Goddess Katrina does NOT allow wishlist purchases for blackmail applications.
Name *
First Last
City/State: *
Email: *
Age: *
Birthday:
MM / DD / YYYY
Sexual Orientation:
Profession: *
Race: *
Phone *
### - ### - ####
Monthly Salary:
$ Dollars . Cents
How much are you willing to tribute a month? *
Marital Status:
Living Situation:
Business Name: *
Business phone number: *
Supervisors name: *
Business Address:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Full Home Address:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Position: *
Do you have prior experience being blackmailed?
Do you understand that you will be of a Slave to Goddess Katrina and at NO SUCH TIME you will be able to Dominate Her?
Applicable Fetishes:
Black Supremacy
Domination
Bondage
Financial Domination
Homework
Foot Fetish
Consensual Blackmail
Diet Control
Forced Bisexuality
TeamViewer
Orgasm Control
Sleep Deprivation
GIVING GODDESS TOTAL CONTROL OVER YOUR LIFE.
Scat
Other
LIMITS: *
Anything that you cannot/refuse to do for any reason. I will not ask you to do anything on this list.
(Example: scat, water sports, anal, nipple play, etc.)
What toys, equipment, or clothing do you currently own?
Dog Collar/Leash
Prostate Massager
Chastity Device
Realistic Dildo
Cock Ring(s)
Anal Plug
Fuck Machine
Nipple Clamps
Dog Cage
Pocket Pussy
Speculum/Anal Spreader
Women's clothing
Wig(s)
Makeup
What tasks can you do? Check all that apply
Video Proof (phone)
Picture Proof (phone)
Email
Is showing your face a hard limit? *
No, but I do not want my face shown publicly.
No, you may show my face publicly.
Yes, but I can wear a mask or face covering for proofs.
Do you drink alcohol or smoke?
How often do you see yourself paying dues or giving gifts to Mistress?
Low Income: As Able To
Weekly
Daily
Monthly
As Commanded
Special Occasions Only
Do you consent that you are acting upon your own free will and are not being coerced into applying for Consensual Financial Domination?
Yes
No
What type of Financial Domination are you seeking?
Selective
Complete
I want to be Financially Ruined
I want to live on a Monthly Budget
I want to be forced to save money
Other
List your significant others full name, phone number, and email.
List the full names, phone numbers, and emails of atleast 4 of your closest friends.
What is your most depraved fantasy?
Upload one photo of yourself, full body.
I understand that this is only an application, not the final contract.

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