My Web Form Page

Please enter the following information:

Enter your First Name:
Enter the Name of your State:
Enter your Postal Code:


The color I like most is:
Grassy Green
Sky Blue
Fire Engine Red
Daisy Yellow
14-Karat Gold


Click ALL that apply:
I like summer
I like to ski
I am taller than 5 feet
I have a job
I have never got an "F" in school
I have a pet


What is your Favorite Food?


Enter the name of your School Below