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Desired Chat Host Name:
(please
enter your real info below, we send your money with the info below!)
First Name:
Last Name:
Address:
City:
State/Province:
Zip Code/Postal Code:
Country:
Phone Number:
Email Address:
Birthday:
Payment Address: If its the same as above just say
"Same"
SSN# (if in USA)
Your Fetishes You Plan To Do
Birthday:
Your Yahoo ID:
Your Wish List URL:
Please
Email Us: 3 Pictures Of
Yourself & a paragraph description that we can put on your page. Put
your "Host Name" in the subject
Admin@fetishhousecams.com
(do
not submit this join form until the pictures & description are sent)
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