Clone of Debt Contract

Queen Kay's Debt Contract Application

I've done a few / I'd like it to hurt
If you are interested in a debt contract with me, fill out the following application completely. Then submit the $50 application fee. I will review the information and get back to you.
- Full Name*
  
  First NameLast Name
- E-mail
  example@example.com
- Birthday*
  
  MonthDayYear
  Date
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- Where did you hear about me?
- What is your monthly net income?*
- What are your total monthly expenses?*
- Preferred payment method
  
  ThroneYouPayCryptoLoyalFansCash App
- What is your familiarity with debt contracts?
  
  Newbie / I'd like to take it slowlyI've done a few / I'd like it to hurtExpert / Ruin me financially
- What other kinks would you like to include in the contract?
  
  ChastityHumiliation/DegradationExposureBody worshipPainOther
- Safeword*
Should be Empty:

Queen Kay's Debt Contract Application