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Contact Form

The Cult of January

Currently Accepting New Members

** Your submission to Me starts the moment you begin to petition for a session. If you don’t jump through a hoop or two, I’ll know you’re not willing to amuse Me the way I like to be amused If you don’t follow My initial protocol by providing the requested information in the format it is requested in, I’ll assume your inquiry lacks sincerity and it will be discarded.

Answer the following questions in the order in which they are presented in an articulate yet efficient manner and your application will be considered. *Note: I require a deposit to be made prior to securing session time. It’s easy, and extremely discreet.

 

The City You're Requesting A Session In (required)

Your Name (required)

Your Email (required)

Your Phone Number (required)

How Did you Find Me?(required)

Your 3 Preferred Session Request Dates/Times(required)

Do you sexualize BDSM? If so, to what extent? (required)

Who have you played with previously? Please give at least 2 references' who would not mind being contacted by Me. Their name, website, and email are preferred. ?(required)

Describe your experience level. (required)

Would you consider yourself a submissive? (required)

Do you consider yourself a masochist, if so to what degree?(required)

How do you feel about marks?(required)

What is your favorite piece of equipment and why? (required)

What activities would your ideal session involve? (required)

What are your Mistress clothing preferences? (required)

Do you have any allergies, medical conditions or physical injuries that I should be aware of? (required)

Is there any additional information you wish to share? (required)

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