If you want to become My money slave, you have to complete the application form below and return it to Me. Don't forget to pay Me € 50.00 registration fee by one of the payment methods below. As soon as I have received your payment and the fully completed application form, I will accept you as My money slave.

Application Form Money Slave

Fully (real) name:
Slave name:
Email Address:
Phone number:
How much money you can spend on Me every month:
I pay via (see the payment options below): iDeal
Sofort Banking
Wire transfer
Cash via (registered) post (see the address below)
Via Creditcard by Deliverycode / Iwantclips
Motivation to become My money slave:

After you send the application form above, please click on one of the payment buttons below to pay your registration fee of € 50.00. On your bank statement you will never see the name of Money Mistress.

€ 50 =
$ 50 =

Send 50.00 by (registered) post to:

P.O. Box 2070, 9704 CB Groningen, Holland

(Always mention your slave name, email address and that you want register yourself as a money slave)