Alien Abduction Form

Ever wanted to be abducted by aliens? Well, now's your chance. Just fill out the form below and Zoltar will abduct you at a time convenient for you!


Name:

E-mail Address:

Country:

State/Province:

City:

Street Address:

Postal Code:

Month/Day/Year you wish to be Abducted:

Time you wish to be abducted (Hour:Minute,AM/PM):

Which abduction plan would you prefer?


If you choose to be abducted, Zoltar will send you an email later, letting you know where to send the money!


Note: Your submission to ANY of the plans above automatically gives Zoltar the authority to use your genetic material for experimentation as well as places you on our email mailing list if you do not already receive our newsletter.