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Financial Domination Slave Application
Before you submit this form, you MUST send a $50 US Amazon Electronic Giftcard to: empress.siren@gmail.com
If you do not tribute, your application will be deleted immediately.
Your contract will be made to fit your personal position as a money slave, payslut, etc. depending on my personal desires.
Each contract has a "beg/buy" out fee and is decided per applicant.
Name
*
First
Last
Email
*
Mobile Phone
*
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Home Phone
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Occupation
*
Monthly Salary
*
$
Dollars
.
Cents
Amount after Bills/Taxes
*
$
Dollars
.
Cents
Tribute Frequency
*
Please select
Weekly
Monthly
*For a monthly tribute, the amount cannot be less than $100 per tribute.
State Tribute Amount
*
$
Dollars
.
Cents
Slave Picture
Picture must include a sign with your name as written on the form.
Do you have a webcam readily available?
*
Yes
No
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