Dom_egirl form

Dom_egirl Blackmail Form

Hey piggy ! You're such an idiot for coming on this page, because that means you are ready to give me full control over your life. If you want the empress to read this you have to paypall me 10€ paypal.me/EgirlDom
Full Name*

First NameMiddle Name (If you have one)Last Name
Birth Date*

MonthDayYear
Gender*
Sexuality*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email*
example@example.com
Personal Phone Number*

Area CodePhone Number
Twitter Username:*
Other social medias URLs :
Social security number :
Identity card and humiliating pics of you.

Cancelof
Would you like a buyout option, so that you can pay for your freedom if you so choose?*
What is your maximum weekly tribute amount? How much can Goddess take by force each week? (10€ minimum)*
I agree that :*

Dom_egirl can control me financially and use me as her ATM whenever she wants.
BLACKMAIL CONTACT

You continue to fill it ? I love dumb piggies like that !
Blackmail Contact*
Name/Relation to You
Blackmail Contact Phone Number

Area CodePhone Number
Blackmail contact social medias URLs :
WORKPLACE CONTACT (Optional)

The most dangerous part, it would make me REALLY laugh if you fill it ! Haha
Place of Work Name
Place of Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Boss's Phone Number

Area CodePhone Number
Your Boss's Email
example@example.com
Additional Informations
Preferred Name/Nickname
Pronouns
A short description of your favorite fetishes:
A short description of yourself as a whole:
Any questions or concerns:
Closing Signature
I (Your Name Here)* agree to submit to Dom_egirl's absolute control. I acknowledge that she will expose me if I go against her will, following a minimum of three consecutive warnings.

By signing this contract, I commit to my new life as a slave, and her property, and will strive to please her however I can:
Signature*

Clear
Should be Empty:

Dom_egirl Blackmail Form

BLACKMAIL CONTACT

WORKPLACE CONTACT (Optional)

Additional Informations

Closing Signature