I blanks am completing this form voluntarily and of my own volition onDate . I am of sound mind and body and I AGREE to submit a payment of $75.00 USD to Goddess Jolee at the completion of this application. I understand that this fee is mandatory and is solely for the purpose of processing this application. If the fee is not paid, I understand my application will not be considered and will be deleted. I acknowledge that completion of this application does not guarantee approval of service.blank