A Test Form

It is never too late
to have a happy childhood!

A Test Form

<FORM METHOD="POST" ACTION="http://www.speakeasy.org/~cgires/perl_form.cgi"> 


   Please Enter Your Password:


 Please enter your first name:

  Please enter your last name:

Please indicate the pets you like:    DOGS   CAT   FROG   MOUSE   FISH  

Please choose your gender:
MALE   FEMALE   Not Sure  

Select your color: 

Send me the info:

If you goof.....:

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David J. Hark
HARK/INTERNET-HELP
P. O. Box 201 Shepherdstown, WV 25443-0201
304-876-2607
dhark@fred.net
dhark@intrepid.net
http://www.fred.net/dhark
http://www.ohurley.com/dhark
Last updated: 18 August 1999

© 1998 David J. Hark