How well do you know me

1. When is my bday

July 22 December 1st September 24th October 2nd

2. What is the name of my business

CVS Overturf Paranormal Services The Atlantic Paranormal Society Coast Guard

3. Where Can you find me on any given day

at CVS at home on the cpu out on a ghost hunt in the minivan

4. What is my faviorite TV Show

The OC Ghost Hunters WWE Raw Burn Notice

5. Who was my crush in highschool

April Heather Katie Nicole

Your name

E-mail address

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">How well do you know me </h1>
      <img src="https://www.flufo.com/i/q/54436564.png" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>When is my bday</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1398]" value="A" /> July 22</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1398]" value="B" /> December 1st</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1398]" value="C" /> September 24th</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1398]" value="D" /> October 2nd</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What is the name of my business</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1399]" value="A" /> CVS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1399]" value="B" /> Overturf Paranormal Services</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1399]" value="C" /> The Atlantic Paranormal Society</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1399]" value="D" /> Coast Guard</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Where Can you find me on any given day</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1400]" value="A" /> at CVS</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1400]" value="B" /> at home on the cpu</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1400]" value="C" /> out on a ghost hunt</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1400]" value="D" /> in the minivan</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>What is my faviorite TV Show</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1401]" value="A" /> The OC</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1401]" value="B" /> Ghost Hunters</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1401]" value="C" /> WWE Raw</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1401]" value="D" /> Burn Notice</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Who was my crush in highschool</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1402]" value="A" /> April</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1402]" value="B" /> Heather</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1402]" value="C" /> Katie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[1402]" value="D" /> Nicole</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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