Emily Osment Fanatic?

1. When was she born?

March 10 1992 April 29 1992 December 15 1991 February 6 1992

2. Where was she born?

Washington DC Phoenix Arizona Los Angeles California Houston Texas

3. What is her middle name?

Lynn Jordan McKenzie Rose

4. What are her parents names?

Eugene and Theresea Bobby and Rose Sean and Barbara Daniel and Peyton

5. What is her favorite color?

black orange pink blue

6. What is her favorite animal?

cheetah dwarf owl golden retriever gecko

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/djwjcwwjw/1240/emily-osment-fanatic">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Emily Osment Fanatic? </h1>
      <img src="https://www.flufo.com/i/q/584702740.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>When was she born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9854]" value="A" /> March 10 1992</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9854]" value="B" /> April 29 1992</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9854]" value="C" /> December 15 1991</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9854]" value="D" /> February 6 1992</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Where was she born?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9855]" value="A" /> Washington DC</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9855]" value="B" /> Phoenix Arizona</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9855]" value="C" /> Los Angeles California</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9855]" value="D" /> Houston Texas</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is her middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9856]" value="A" /> Lynn</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9856]" value="B" /> Jordan</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9856]" value="C" /> McKenzie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9856]" value="D" /> Rose</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What are her parents names?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9857]" value="A" /> Eugene and Theresea</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9857]" value="B" /> Bobby and Rose</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9857]" value="C" /> Sean and Barbara</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9857]" value="D" /> Daniel and Peyton</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>What is her favorite color?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9858]" value="A" /> black</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9858]" value="B" /> orange</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9858]" value="C" /> pink</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9858]" value="D" /> blue</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>What is her favorite animal?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9859]" value="A" /> cheetah</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9859]" value="B" /> dwarf owl</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9859]" value="C" /> golden retriever</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9859]" value="D" /> gecko</label>
      <br />     
      <div><label for="userName">Your name</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
      <input type="text" name="userName" id="userName" value="" style="width: 300px;" />     
    </div><br />
    <div>
      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
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    	<input type="submit" name="submit" value="Ready" /> <span style="margin-left: 200px;">powered by: <a href="http://www.flufo.com" target="_blank">flufo.com</a></span>
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