about me?

1. whats my first name?

david lorenzo carlos tony

2. whats my favorite drink

corona budwiezer budlight michalob

3. when's my birthday?

july 22 june 22 may 22 june 20

4. whats my favorite tv show

entourage the contender sopranos

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/DAVID/143/about-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">about me? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>whats my first name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[917]" value="A" /> david</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[917]" value="B" /> lorenzo</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[917]" value="C" /> carlos</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[917]" value="D" /> tony</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>whats my favorite drink</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[918]" value="A" /> corona</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[918]" value="B" /> budwiezer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[918]" value="C" /> budlight</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[918]" value="D" /> michalob</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>when&#039;s my birthday?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[919]" value="A" /> july 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[919]" value="B" /> june 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[919]" value="C" /> may 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[919]" value="D" /> june 20</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>whats my favorite tv show</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[920]" value="A" /> entourage</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[920]" value="B" /> the contender</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[920]" value="C" /> sopranos</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>
  </div>
</form>

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