Princess Spider - One-off Donation Form

Please print out and return your completed form, with your donation (minimum £25), to:-
Princess Spider - P.O.Box 36233, London, SE19 1YT. United Kingdom
Surname:    
First name:    
Slave name:    
Address:    
     
     
Zip/Post Code:    
Country:    
Telephone:
Mobile:
 

Payment Details

UK donors - Credit card or personal cheque payment only (payable to Spider Media)
Overseas donors - Credit card payment only
 
Donation amount £
 
Card type: Mastercard/Visa/Switch
Card Number:     /     /     /    
Expiry Date   /   
Issue no. (Swith only)   
Signature:
Date: (dd/mm/yy)   /   /