Blackmail consent

Goddess Nadine

BLACKMAIL CONSENT FORM
Legal Name*

First NameLast Name
E-mail *
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Marital Status*
Significant others email if applicable
Social Media Account Links:*
Job and salary information:*
Primary kinks:*
Limits:*
Attach proof of age (i.e. driver's license) Note: this info will NOT be published and will remain private.*

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Attach Photo of you holding sign "I wish to be blackmailed by Goddess Nadine."*

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Terms and Conditions:
A deposit of $50 is required along with completion of this application.

You providing this information is giving Goddess Nadine full consent to engage in financial blackmail fetish with you. Any photos or information is given voluntarily. By signing, you are acknowledging that the information you have provided is for the sole purpose of consensual financial erotic blackmail, also known as sextortion. By submitting this, you are giving me permission to use your information and photos as I please to indulge your fetish. You also understand that there is a 'mercy fee' if you no longer wish to continue of $250 USD. Your personal details and photos will be deleted and destroyed and I will no longer contact you.
I agree to all of the above, Signature*

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Goddess Nadine