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Response-O-Matic Form


Thanks for visiting my site!

Your comments are appreciated!

Just complete this form. Click on Submit when ready to send.


Your name:

Email address:

How many snakes do you own right now?

0-5 snakes
16 or more


What other animals do you have?

Other Reptiles


How many of your family members agree to get a snake?


Explain why you want to adopt a snake and what kind of enviroment you can off the snake.


Which snake would you like to adopt?