Survey

Bulk submissions are not eligible for the drawings.

1. Are you on a septic system or a city sewer system?

2. Do you have a garbage disposer?

3. Do you own or rent an RV (recreational vehicle)?

4. Do you have any pets?

5. What kind of pet do you have?

Name:

Street Address:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

E-mail:

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Don Klanchar

of Sierra Visata, AZ

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