Debt Contract
Filling out this form and sending the down payment of $150 CAD, you are agreeing to going in debt for me. I will use the information provided and send you a copy of the contract. Do not abuse this privilege! If you feel the need to end the contract sooner than intended, it is your responsibility to inform me.
Legal Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Occupation
Monthly Income
Relationship Status
X(Twitter) handle
Identification for AV
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What payment method will you be using?
YouPay
Throne
Paypal*
How much debt are you going in?
Sending Frequency
Weekly
Biweekly
Monthly
End date of contract** ( 1 Month minimum )
-
Month
-
Day
Year
Date
Embarrassing Images you wouldn’t want public
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Other information(ie. Kinks, additional fee ideas, information you wouldn’t want public)
I agree there will be no interest added to the principal amount (Goddess Layla doesn’t want to do the calculations)
I Agree
Due to no interest added Goddess Layla may add extra debt to the total amount when she feels like it. (Depends on the duration of contract.)
I Agree
*If using PayPal as my payment method, I agree I will not charge back or do anything to compromise Goddess Layla’s account. (Sensitive information will be leaked if account is compromised)
I Agree
Not using PayPal
**I agree to inform Goddess Layla if the contract needs to end sooner than agreed upon ($75 fee to end contract early)
I agree
I agree that I will let Goddess Layla know if I will be adding extra payments towards the principal.
I agree
By clicking submit you agree and understand the following:
Your overall health and well being are important to me, in order to make me happy you need to be happy as well. My goal as a Domme is not only to drain you and expose your dirty secrets. I want to help make your life & fetish experience better by providing a safe space. Communication is an expectation of our agreement, it provides a better experience for both parties. **$150 required to receive finalized contract**
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