do u know me

1. Who do i ride

Chatty Petrus Goodie Roxy

2. What did I Place at Seha Finals medal class

3rd 1st DQ 6th

3. Whens my bday

nov 2 oct2 nov8 oct27

4. where do i ride

Sandy point Clear view Two Rivers Heritage

Your name

E-mail address

HTML Code

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  <div style="width: 100%;">    
  <h1 style="color: #376e93;">do u know me </h1>
         
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Who do i ride</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2572]" value="A" /> Chatty</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2572]" value="B" /> Petrus</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2572]" value="C" /> Goodie</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2572]" value="D" /> Roxy</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>What did I Place at  Seha Finals medal class</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2573]" value="A" /> 3rd</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2573]" value="B" /> 1st</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2573]" value="C" /> DQ</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2573]" value="D" /> 6th</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Whens my bday</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2574]" value="A" /> nov 2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2574]" value="B" /> oct2</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2574]" value="C" /> nov8</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2574]" value="D" /> oct27</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>where do i ride</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2575]" value="A" /> Sandy point</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2575]" value="B" /> Clear view</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2575]" value="C" /> Two Rivers</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[2575]" value="D" /> Heritage</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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