EmailMe Form - Goddess Lisa Lux's Slave Application

First Name: *

E-mail Address: *

Age:

Location:

Marital Status:

Sexual Orientation:

Do you own a chastity device?:

Occupation Title:

Monthly Salary:

$ Dollars . Cents

Average monthly income if not on salary.

Rent or Own?:

Rent

Own

How much is your average disposable income a month?:

$ Dollars . Cents

After all bills and expenses are paid.

What fetishes are you interested in?: *

List other fetishes you are interested in:

Hard Limits:

Anything you cannot or refuse to participate in for any reason.

What tasks can you do?:
Check all that apply.

What toys, equipment, or clothing do you currently own?:

Describe Yourself:

Personality, Interests, etc.

What past BDSM experience do you have? Have you ever served a femdom before?:

Describe your ideal slave situation in detail. What would your mistress be like? What would she expect of you? What would your average day consist of?:

Describe your living situation. Do you have roommates? Live alone? Live with a gf/bf or family?:

How much of your earned income will you spend monthly to please your goddess?: