Application form

First name *
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Last name *
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Alias/slave name
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E-mail *
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Gender*
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Desired location*
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Desired date * *
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Alternative date* *
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Time
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Time
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City *
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Desired session duration *
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Experience*
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In the session I like to be: *
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During the session I would like to: *
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That's what I get aroused by in the session: *
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That's what I get aroused by in the session: *
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I would like to be addressed as ... *
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I have the following fantasies which I have not yet experienced
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I prefer humiliation in the form:
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I like to wear:
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I'd like to see Lady Diyosa in:
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I'd like to see Lady Diyosa in:
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Health restrictions*
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Visible traces*
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Further remarks
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Taboos
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Absolute discretion and secrecy is a matter of course!