Blackmail Application

Blackmail Application Initial Screening

Fill out this form to be considered for a blackmail fantasy arrangement. Should you pass screening, I will contact you with additional steps. To increase the likelihood of passing initial screening, send a tribute. Methods are listed at the bottom of this survey.
Please list your FULL legal name.*
What is your marital status?*
Provide your email address.*
Phone Number*
Please enter a valid phone number.
Net monthly income*
Net disposable income*
Please list your monthly bills and expenses.*
Please enter URLs to your social media accounts below. Ex: Facebook, Twitter, Instagram, Fetlife, etc.*
YesNoOther
YesNo
Please list any of your favorite clips of mine here.*
18 - 2525 - 4545 - 65Older than 65
Gender?*
Novice - brand new to the fetishVideo consumerVia phone or webcamRealtime experience
Forced bi/feminizationCuckoldingHumiliating tasksFinancial dominationCoerced intoxication fantasyChastityHomewreckingOther
Please list any other fetish interests here.
Psychological playPhysical play/task orientedFinancial controlOther
If you selected other, provide a brief explanation below.
How often would you like to receive new tasks and communications?*
Less than $20$50 - 100$100-250More than $250Other
What is the maximum amount you would pay to buy out your blackmail contract?*
I LOVE it!It's fun every now and then.I only do the minimum.Expensive and stupid.
What turns you on about blackmail fetish?*
What does an ideal blackmail arrangement look like TO YOU? Please be as thorough as possible. *
Live webcam sessionsPhotos and videosPhone domination via NiteflirtI don't offer proof.
Social media exposureBeing featured in future blackmail videosPosted on blogContacting real-world connectionsTeamviewer sessions
Please provide a general introduction and any additional information you'd like me to know. *
Upload a photo of yourself.*

Cancelof
YesNo
Niteflirt - CallFallonFairbanks.comBitcoin - 38dWT156c69VC2i4i3ynzCPMqmhNe2vFe5Amazon E-Giftcard to Fallon@FallonFairbanks.comiWantClips - iWantFallonFairbanks.comNo, I did not send a tribute.
By submitting this agreement, you consent to Fallon Fairbanks using your confidential information as she sees fit for the purpose of fulfilling your consensual blackmail fetish. If you pass initial screening, you agree to move on to the detailed blackmail questionnaire. You acknowledge you are submitting this of your own free will and agree to hold Fallon Fairbanks harmless in the event of ramifications incurred during the consensual blackmail process.
Should be Empty:

Blackmail Application Initial Screening