in association with snips

Tell us about your holistic health background and interests.
If you'd like to read about the B&B or Day Camp, click here
or click here to go to the application.
Please note: If you do not receive a confirmation within 24 hours of submission,
it means some problem has occurred with the transmission of this form.
Make sure to save the information on your "Success" form, and if you don't hear from me,
paste it into an email and resend.
Please email or call me (614/774-3472) if this happens.
My apologies if this causes any inconvenience!

Name: Email:
Address: City, State, Zip:
* Which of these topics are of
interest to you?
 Natural Diet
Homeopathy
TCM (Traditional Chinese Medicine)
Massage/Reiki
Vaccinosis
 other

* Are you currently working with a veterinarian who is supportive of your choice to pursue natural treatments?
yes no
* What kinds of companion animals do you currently live with?
dogs cats horses birds reptiles pockets
* Do you vaccinate? yes no
* Use heartworm prevention? yes no
* What type of flea prevention do you use?
* What do your animals eat?
* How did you find out about us?
email listserve flyer grapevine classified ad web search
* Would you like to be on our email list? yes no

* Tell us more:




in association with snips
Marysville, Ohio
614/774-3472
pawsitiveenergy@aol.com

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