Do you know Joe Jonas?

1. When is his birthday?

July 10th June 22nd August 15th December 11th

2. What is fave vacation spot

Bahamas New York St. Louis China

3. What is Joe's Fave after school snack?

Hershey Chocolate Bar Power Bar Kit Kat Chips

4. If his house cought on fire what would he try to save?

His mic. His guitar His Tambourine Nothing

Your name

E-mail address

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do you know Joe Jonas? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>When is his birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9860]" value="A" /> July 10th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9860]" value="B" /> June 22nd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9860]" value="C" /> August 15th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9860]" value="D" /> December 11th</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is fave vacation spot</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9861]" value="A" /> Bahamas</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9861]" value="B" /> New York</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9861]" value="C" /> St. Louis</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9861]" value="D" /> China</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What is Joe&#039;s Fave after school snack?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9862]" value="A" /> Hershey Chocolate Bar</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9862]" value="B" /> Power Bar</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9862]" value="C" /> Kit Kat</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9862]" value="D" /> Chips</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>If his house cought on fire what would he try to save?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9863]" value="A" /> His mic.</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9863]" value="B" /> His guitar</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9863]" value="C" /> His Tambourine</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[9863]" value="D" /> Nothing</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;" />     
    </div><br />
    	<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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