Location:

Age?

Marital Status
Single
Married
Divorced
I'm a little bitch, no one likes me

Average Annual Salary (don't lie you little bitches)
Less than $20,000
$20,000-$30,000
$30,000-$40,000
$40,000-$50,000
$50,000-$65,000
$65,000-$80,000
$80,000-$100,000
$100,000 +

List reasons why you think you should be considered for slavery:
Go on... be a creative sissy.. don't bore me

How do you plan to make your weekly tributes?
I am very picky, so make this good