(Old Style) Gecko Purchase Questionnaire

* Indicates required field

Name *

First

Last

Email *

Shipping Address (due to recent FedEx delays, we HIGHLY recommend having your gecko(s) "held for pickup" at your nearest FedEx hub. If you do not know the address of your nearest FedEx hub, please enter your home address below & in the COMMENTS section add a note to ship to FedEx hub). * *

Line 1

Line 2

City

State

Zip Code

Country

What is this shipping address? *

Home/ Residence Place of Business/ Work FedEx shipping HUB

Phone Number *

Gecko(s) I am purchasing (name or i.d. of gecko) *

Preferred date to receive shipment *

Have you reviewed our Terms of Service? (deliveries available ONLY Tuedays, Wednesdays or Thursdays) *

Yes, I understand and accept all terms No, I do not accept the terms and understand that I cannot make a purchase until I do

Option to Purchase Live Arrival Insurance. I will cover half, so the cost for you is $1.25 for every $100 insured. *

Yes, please put me down to cover half the insurance cost for the full purchase price. No, I don't want to purchase live arrival insurance and understand the risk.

Are you prepared to care for the animal(s) you want to purchase? (Including having the right food? We use and highly recommend Pangea Fruit Mix Complete (any flavor)!) *

Would you like to purchase any Pangea diet to add to your gecko shipment? *

Flavor of Pangea you would like to order *

If you would like to add any of our exclusive herp stickers to your order, please order through our STORE.

Comments *

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Gecko Purchase Questionnaire

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