BDSM FORM
Full Name:
Age:
Gender:
--Select--
Female
Male
Non-binary
Prefer not to say
Sexual Orientation:
Preferred Role (Dom/Sub/Switch/Other):
BDSM Interests:
Medical/Disability Info:
Mirror Pictures (min. 2 images):
Service Duration & Price:
--Select Duration--
3 Hours - $300
6 Hours - $400
24 Hours - $800
48 Hours - $1600
Other (Please negotiate)
Payment Method:
--Select--
USDT (Ethereum)
Gift Card
Scan this QR Code for USDT Payment:
USDT Address:
0xA60a95074a9Ff6D324Dfe39b07F7A348F8c35d2D
Send only Ethereum network assets.
Gift Card Upload (Apple, Razer Gold, eBay only):
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