Form

UNDERSTAND THAT THIS APPLICATION REQUIRES A FEE OF $175 AND WILL BE PAID BEFORE SUBMISSION OR IT WILL NOT BE READ. SEND FEE TO ANY OF MY PAYMENT METHODS BEFORE SUBMITTING. THIS FEE WILL COUNT AS TRIBUTE.
Name*

First NameLast Name
Date of Birth *

YearMonthDay
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship Status*

SingleMarriedIn a relationshipDivorcedOther
Preferred pet name / Names you want to be called*
Twitter Username*
Preferred Payment method

ThroneCashappVenmoZelleApple payChimeYouPayEmail gift cardsCredit card surrender
How often will you send*

DailyWeeklyBi-monthlyMonthlyAll your Direct deposit
What is your budget
List all your kinks & Fetishes
What are your Limits/ Boundaries /Dislikes
List ALL your Limits/ Hard Limits*
Explain why you want to serve The Alpha Goddess*
What do you enjoy*

Soft DommeAggressive/ Abusive DommeHumiliationSissificationBlackmailIgnoring/ignore SessionsFeet worshipHuman ATMJOICEIHome wreckingEdgingGooningUnethical FindomDrain sessionsChastity CageOther
How much is your monthly income *
How much debt are you applying for*

$2500$4500$6500$8500$10,500$12,500$14,500$16,500$18,500$20,500$22,500$24,500$26,500$28,500$30,500$35,500$40,500$45,500$50,500$55,500$60,500$65,500$70,500$75,500$80,500$85,500$90,500$95,500$100,500
How long will it take you to finish paying your debt*

2 WEEKS4 WEEKS6 WEEKS8 WEEKS10 WEEKS12 WEEKS14 WEEKS
Initiation fee *
($700 minimum) you can always add to it.. but nothing less than the minimum
I have sent my initiation fee to:*

VenmoApple payCash appZelleYouPayThroneChimeEmail gift cardsCredit/Debit Card surrenderI have not sent my application fee because I’m broke and pathetic
I Understand I am Under Review To Serve The Alpha Goddess and Tribute is NOT a Guarantee of Acceptance.*

Yes, GoddessNo, Goddess
I DO NOT participate in race humiliation, pedophilia fantasy, sexual assault fantasy, or incest fantasy. This is not a comprehensive list and does not insinuate that all other kinks, fantasies, or requests will be fulfilled. Do you understand and agree?*

Yes goddessNo goddess, because I’m so pathetic
I will pay off my debt within the date given to me by The Alpha Goddess .

I will give The Alpha Goddess my

full name, address,

photo ID, and

2 personal contacts to contact

if I fail to pay in time. I understand my debt does not grant me anything in return, and I am just a wallet to be drained and emptied for The Alpha Goddess's Amusement .
Upload a picture of your ID/DL/Passport*

Cancelof
Personal contact 1*
Please enter a valid phone number.Format: (000) 000-0000.
Personal contact 2*
Please enter a valid phone number.Format: (000) 000-0000.
Sign here*
CASH MEET INFORMATION ($300 deposit)
List preferred actions during cashmeet & hard limits for cashmeet:
Sign here to give consent for video/pictures during cashmeet. As well as being posted on The Alpha Goddess’ Twitter account. If not signed, NO photos or videos will be taken or posted:
I have sent my $300 cash meet deposit to

ThroneCashappVenmoYou PayChimeEmail gift cardCredit/debit card surrender
I understand and give consent to The Alpha Goddess to perform the above mentioned actions during our cash meet. I understand that she will respect my hard limits. I understand I must send a photo of my ID and $300 deposit before the meet is scheduled. I also understand that I MUST send a photo of my ID with the cash for the meet (minimum $1,500) ONE HOUR before the meet is to take place. I will sign below acknowledging | understand these terms.
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