Bat Conservation International Southern Florida Plant Submissions

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Plant One: Common Name * This field is required.

4

Plant One: Scientific Name (if known)

5

Plant One: Does this plant attract Moths or Crickets?* This field is required.

Yes

No

Not Sure

6

Plant One: Is this plant available at local nurseries? * This field is required.

YESNO

7

Do you have another plant suggestion?

YESNO

8

Plant Two: Common Name

9

Plant Two: Scientific Name (if known)

10

Plant Two: Does this plant attract Moths or Crickets?

Yes

No

Not Sure

11

Plant Two: Is this plant available at local nurseries?

YESNO

12

Do you have another plant suggestion?

YESNO

13

Plant Three: Common NameSkip to end of form if you would not like to add another plant.

14

Plant Three: Scientific Name (if known)

15

Plant Three: Does this plant attract Moths or Crickets?

Yes

No

Not Sure

16

Plant Three: Is this plant available at local nurseries?

YESNO

18

Would you like to be contacted when the plant list is available?

YESNO

19

Would you like to subscribe to our newsletter?

YESNO