EmailMe Form - Application For Financial Slavery

Name *

First Last

Email *

Home Address
(Blackmail applicants only)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone

### - ### - ####

Home Phone

### - ### - ####

Work Phone

### - ### - ####

Occupation *

Monthly Income
(in US Dollars) *

$ Dollars . Cents

Often Paid? *

Fetishes *

Do you understand what Financial Domination Means? *

Yes

No

Do you accept the terms and conditions of being a slave to me *

Yes

No

Terms and condtions:By coming here you should already know your sole purpose in this sad life you live is to serve ME..I do not tolerate excuses, wives, girlfriends or any other intrusions. I expect a great deal of loyalty from my servants. Not just financially but physically, emotionally and mentally as well. BE PREPARED TO COMPLETELY SUBMIT..1.NO Whining or making excuses..I do not have sympathy nor am I your fucking mother.. I DO NOT enjoy listening to a grown slaves bitch and moan.

2. ALWAYS check my wish list. It does not count toward your tributes but Gift Cards are always Fun For me

3. Be prepared to pay me within minutes of our conversation if not before.. Do not waste my time….
4. All agreed upon tributes MUST be paid on time. There is a late penalty of $25 a day for late payments. I do not give grace periods

Upload Current Photo *

Upload Current ID (address may be covered) *

Please Include any other kinks and fetishes I should know about you. Include weaknesses as well