JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Newsletter Signup
This is simple data collection so that I can update you on cool things. Things like new books, spicy merch, etc.
I will not share your information with anyone else and only use this to email you. You may opt out at any time.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Are you over the age of 18 years old?
*
Yes I am!
You cool with me emailing the email address provided above a couple times a month?
*
Yes I am!
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
