Application for Consensual FinDom with Me (Miss Domina)
The following form must be filled out fully to be considered. Failure to do so will result in you being denied. You must be 18 years or older. Beem: missdomina. PayID: mdworks92@gmail.com
Name
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Email
*
example@example.com
Mobile
Please enter a valid phone number.
Format: (000) 000-0000.
State & Country
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Birthday
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DD/MM/YYYYY
List your fetishes & kinks
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Are you interested in attention from Me as my finsub? Do you wish to tribute & be ignored? List what (if any) attention from Me you're hoping to receive
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List any hard limits/boundaries
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Do you have instant messaging services?
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Yes
No
If yes, which services (or type N/A if you don't have)
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Do you consent that you are acting upon your own free will and are not being coerced into applying for consensual financial domination consideration with Me and those associated with Me?
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Yes
No
What type of relationship are you interested in with Me?
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Online only
In person only
Online & in person
Webcam/video chat interaction
What is your employment status?
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Please Select
Full time employed
Part time employed
Self employed
Unemployed
Retired
What is your occupation?
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What is your pay schedule?
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Please Select
Daily
Weekly
Fortnightly
Monthly
How often do you propose paying tributes and gifts to Me?
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Please Select
Daily
Weekly
Fortnightly
Monthly
How much of a tribute do you propose to pay?
Note whether weekly/fortnightly/monthly
Have you paid Me the initial tribute of $50?
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Yes
No
Paying tribute to My Goddess
Beem: missdomina or PayID: mdworks92@gmail.com
What Beem or PayID account did your payment come from?
*
I have answered all questions truthfully
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Yes
I understand this application is subject to approval
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Yes
Please verify that you are human
*
Submit
Should be Empty: