Do ya know me???

1. Where am I moving to After the Marines?

Michigan Wisconsin stay inCali Florida

2. What my Most favorite color??

Pink! Green! Yellow! Blue!

3. Whats my sons middle name?

Oneal Brian June Joshua

4. Whats my middle Name?

Anne Annette April Alissa

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/Samantha/206/do-ya-know-me">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Do ya know me??? </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Where am I moving to After the Marines?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1376]" value="A" /> Michigan</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1376]" value="B" /> Wisconsin</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1376]" value="C" /> stay inCali</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1376]" value="D" /> Florida</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What my Most favorite color??</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1377]" value="A" /> Pink!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1377]" value="B" /> Green!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1377]" value="C" /> Yellow!</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1377]" value="D" /> Blue!</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Whats my sons middle name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1378]" value="A" /> Oneal</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1378]" value="B" /> Brian</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1378]" value="C" /> June</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1378]" value="D" /> Joshua</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Whats my middle Name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1379]" value="A" /> Anne</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1379]" value="B" /> Annette</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1379]" value="C" /> April</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1379]" value="D" /> Alissa</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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