Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Does your habitat contain at least 3 species of native plants in bloom throughout the growing season? *

BLOOM SEASON

Yes

No

I'm not sure

Does your habitat have places for bees and butterflies to nest, such as bare ground or bee hotels? *

SHELTER

Yes

No

I'm not sure

Do you engage in wildlife-friendly gardening practicles, like no till, organic gardening, letting leaves lie, or waiting until May for spring clean up? *

WILDLIFE

Yes

No

I'm not sure

Do you practice resource-friendly gardening, such as drip irrigation or mulch? *

RESOURCES

Yes

No

I'm not sure