Custom Video Request Form

Polly Pocket Custom Order Form

All Videos/Images Are Subject To My Discretion. Solo Only. Payments Must Be Made Upfront Once Order Is Confirmed.
Name

User Name @Platform (X/OF/Fansly/Reddit)
Request Date

MonthDayYear
Date
Please Include:

• Any key kink words/dirty talk
• What you’d like me to do (be specific)
• Clothing/lingerie/nude etc
• Video length (5mins minimum)
• Angles/poses etc
• Ensure you go through the add on list incase your video includes extras (face/anal etc)
• Script (this is an extra add on)
• Any other details
• For images include poses/clothing
• Welcome to send references if you have them

***If you believe video length doesn't need to be 5 mins please let me know. If I can accommodate for less time I will.

***All content may be shared on other platforms unless you pay for exclusivity. Name mentions can be added on at the beginning/end of video as an extra. If you want name throughout/during orgasm this is classed as exclusivity and you’ll need to add that on.

***If there is a specific toy/outfit/lingerie/prop etc that I do NOT already own, this will be added to the total cost.

HARD NO's!!!

• Raceplay

• Age Play

• Fisting

• Pain

• Hardcore
My Products
prevnext( X )
Custom Video 5 Mins
£50.00



Additional Custom Video Mins Any requests over 30 mins can be negotiated
£10.00 Quantity



Including face during videos (per min)This much match the number of minutes the video length is
£5.00 Quantity



Optional ExtrasName included/Script/Anal/Roleplay/pee (price is per extra please select the amount you need)
£15.00 Quantity



ExclusivityVideo will not be sold anywhere else
£100.00



Custom picsPrice is per pic
£5.00 Quantity



Faced custom picsPrice is per pic
£10.00 Quantity



Total

£0.00
Please describe the video/images you desire here!
PLEASE NOTE VIDEOS MAY TAKE UP TO 2 WEEKS TO BE MADE. IF YOU WANT IT SOONER PLEASE CONTACT ME. THIS MAY OR MAY NOT BE EXTRA.
How will you be paying?

Cashapp (UK ONLY)Wishtender (Preferred)Amazon Gift Card (GBP ONLY)Only Fans/Fansly Tip (+10% - I will take the other 10% fee)
Age verification is required if I do not know you. Are you prepared to send an image of your ID with your date of birth showing? All other details can be hidden.
Please select that you have read all of the terms and conditions above and are happy to submit

Yes I have read all information required and are happy to proceed
YOU MUST NOTIFY ME OF YOUR SUBMISSION REQUEST FORM AS MY EMAILS ARENT CHECKED AS REGULARLY AS MY PLATFORMS!
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Polly Pocket Custom Order Form