Web Questionnaire

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
E-mail:
Do you have rats?	Yes No
Do you like loveable furry animals?	Yes No
Do you want to say: "I've got Rats!"?	Yes No
What is important in a pet?	Friendly Independent Furry
Pet size (in pounds)?
Comments on my Tribute to Rodent's website?	Type Comments here!