Me

1. What kind of dog do I want when we get our own home?

Doberman Rottweiler Boxer Tea-cup Terrier

2. What is my Pallys name?

Explicit Banished Supersport Dumass

3. What new Xbox 360 game do I want right now?

Gears of War Call of Duty 5 NBA Live 09 Resident Evil

4. What material possesion (not person) do I love most?

My Jordan card collection My computer My car My watch

5. Whats my favorite way to aggrivate you babe.

Poke Tickle Grab the belly Mak fun of the head size

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Me </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>What kind of dog do I want when we get our own home?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16203]" value="A" /> Doberman</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16203]" value="B" /> Rottweiler</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16203]" value="C" /> Boxer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16203]" value="D" /> Tea-cup Terrier</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is my Pallys name?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16204]" value="A" /> Explicit</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16204]" value="B" /> Banished</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16204]" value="C" /> Supersport</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16204]" value="D" /> Dumass</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>What new Xbox 360 game do I want right now?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16205]" value="A" /> Gears of War</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16205]" value="B" /> Call of Duty 5</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16205]" value="C" /> NBA Live 09</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16205]" value="D" /> Resident Evil</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What material possesion (not person) do I love most?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16206]" value="A" /> My Jordan card collection</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16206]" value="B" /> My computer</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16206]" value="C" /> My car</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16206]" value="D" /> My watch</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Whats my favorite way to aggrivate you babe.</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16207]" value="A" /> Poke</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16207]" value="B" /> Tickle</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16207]" value="C" /> Grab the belly</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[16207]" value="D" /> Mak fun of the head size</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;" />     
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    <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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