My Web Form Page
Please enter the following information:
Enter your First Name:
Enter your Last Name:
Enter the Name of your State:
Enter your Postal Code:
The color I loke most is:
Purple
Sky Blue
Fire Engine Red
Daisy Yellow
Gray
Click ALL that apply:
I like summer
I like to ski
I am taller than 5 feet
I have a job
I have neger got an "f" in school
I have a pet
What is your Favorite Food?
Pizza
Hamburgers and Fries
Deluxe Tacos
Hot Lasagna
Bar-b-Que Chicken
Bean Burritos
Prime Rib Steak
Enter the name of your School Below
This is a good place To add unique information