Blackmail Consent Form

Blackmail Consent Form

All fields mandatory. Send £50 to begin
Full Legal Name*

First (and middle) Name(s)Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Phone Number Home*
Please enter a valid phone number.
Birthday*
Phone Number Mobile*
Please enter a valid phone number.
Age*
Email*
Social Media Usernames & Which App*
List everyone living at your address and their relation to you*
List your hard limits*
Choose a level of blackmail*

SoftStandardHardExtreme
List Kinks*
How long do you wish to be blackmailed for*
Do you want a debt contract*

YedNo
Max budget for blackmail*
I Full legal name * give my full consent to Domme * for consensual blackmail. I fully understand the risks involved and agree to take no legal actions.
Signature*

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