Application

First Name 
Your pet's name (optional)
How many habits do you currently have?
Your e-mail address
Please, describe in detail your desire for an addiction or a habit. Keep in mind that this info. will remain confidential.
How much can you invest into a habit monthly?
How strongly do you want to get used to it?
Will you be the only owner of the habit?
Would you like to meet the previous owner or a developer of the habit? If so, please make sure you have health insurance with one of the legible providers.

Prefer Domestic Habits  Prefer International Habits
Do you snore?  Yes  No 
INS Status (if applicable) Approved  In process  Have not applied

Confessions (optional)