GODDESS HAVANA SUBMISSION FORM
Application for Sub, Toilet or Slave
Name
First Name
Last Name
What Site are you from
Fetlife 1
Seeking
Dominant
RBW
Other
Do you have any experience ?
Yes
No
Its been years
What Do You desire the most as a submissive?
Lost of Control
Forced Manipulation 2
Cuckold
Full Toilet (Golden Showers & #2)
Strap-On, Anal Play, Pegging
If you had a choice which option would you choose?
Being hog-tied and pissed on
Anal stimulation, pegging, hardcore
Mommy/Baby play
Choked, slapped, spit on, ass worshipping
Have you ever been with a black woman before
Yes
No
Do you understand the role of a true submissive
Yes
No
Best Form of Payment
Cash
Electronic Pay- Venmo/Cashapp/Zelle
Best Date for Initial Meeting (has to be within 7 days)
-
Month
-
Day
Year
Date
Approx. Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Form of Contact (KIK, Email or WhatsApp)
example@example.com
IF YOU CANNOT KEEP APPOINTMENT $25 CONTRACT BLACKMAIL FEE WILL BE CHARGED
INITIAL HERE WITH CASHAPP NAME
Submit
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