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My First Form

Hi, look at this, will ya. I've finally graduated to putting a form up on this little site of mine. Look, this is just a test...I'm not trying to get any serious info out of you, I'd just like you to enter a little info about yourself and hit the submit button at the bottom. I've got a folder in my E-mail program where I've set up a rule for these replies to go to...I'd really like to see how well this works. Go ahead, put any old answers in the boxes below, please. Thanks for the help :-) -Bill

Personal Info
Title
First Name
Middle Initial
Last Name
Company
Position
Address Line 1
Address Line 2
PO Box
City
State
Country
Zip
Home Phone
Work Phone
Fax
Cell Phone
E-mail
Web Site
ICQ Number
User ID
Password
Password Question
Password Answer
Credit Card Type
Credit Card Number
Card Expiration Date   
Card User Name
Card Issuing Bank
Card Customer Service Phone
Sex
Social Security Number
Driver License Number
Date Of Birth
Age
Birth Place
Income