EmailMe Form - Application for Consensual Financial Domination.

Name

First Last

You're last name isn't mandatory, but is preferred.

Nicknames

City, State

A little about yourself:

ie: pets, children, favorite food, favorite movie, goals etc.

Birthday *

MM / DD / YYYY

List your fetishes, kinks, desires, wishes; of what you hope to get from the attention of Princess Briella. *

Remember to answer this as THOROUGHLY and DETAILED as possible.
This is for YOUR benefit! I need to know what you enjoy. Don't hold back!

List any hard limits:

ie: children, animals, illegal activity, feces, blackmail etc

Email/imessage

cell phone

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

Todays Date

MM / DD / YYYY

Do you have an Instant Messaging Service? *

Yes

No

If Yes, please list the messaging services and usernames

Current Relationship Status *

Do you understand that you will be of a Submissive, Slave, and/or Pet position to Princess Briella and at NO SUCH TIME you will be able to Dominate Her? *

Yes

No

Do you consent to having your private and personal information collected for contractual purposes?

Yes

No

Do you consent that you are acting upon your own free will and are not being coerced into applying for Consensual Financial Domination consideration? *

Yes

No

What type of relationship are you considering with Princess Briella? (Select all that apply to you.) *

What is your Employment Status? *

What do you do for work?

What is your pay schedule? *

How often do you see yourself paying dues or giving gifts to your Princess? *

How much will you pay tribute to Princess Briella?

Final Comments: