EmailMe Form - Slave Application & Agreement Form

Today's Date
MM / DD / YYYY
☆☆ PERSONAL DETAILS ☆☆
Fill out with your rea information
Name
First Last
Date of Birth
MM / DD / YYYY
Email
Mobile Number
Viber
Whats App
Home Address (Make sure It's REAL & LEGIT)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Work
Monthly Earnings
$ Dollars . Cents
(Type 000 if u want to keep this private.)
☆☆ SOCIAL MEDIA ACCOUNTS ☆☆
Fill out with your Real and Legit accounts. (If u have)
Fetlife

Twitter

Facebook

Instagram

SnapChat

Vine

Tumblr
Web Site (If you have)
☆☆ GET TO KNOW MORE ABOUT YOU ☆☆

CHECK the box.

	Yes Mistress	No Mistress
You've been owned by other Mistress before?
You've done Buy out from any of your previous Owner?
Are u okey in posting your image in my Blog?
BlackMail?
Pain?
Dirty and Nasty stuff?
Teamviewer?
Cross dressing or Sissyfication?
Do u have limitation? if YES write it on the box below & Your other specific BDSM fantasy.

Limitation (if any) What kind of Slave or Sub are u? What are u into?
Upload Photo
FACE shot!
9-digit registration number
(https://www.slaveregister.com)
Register to the link above to get your unique 9-digit Slave registration number.
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