Test Form 4

This form takes in quite a lot of information and returns the parsed output with the "name=data" pair of information for each field in the form on a separate line. You'll see what I mean.

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Click on the "Submit" button when you have filled out all of the data.

Enter your name:
Enter your e-mail address:

I like to eat (check all that apply): Pizza Hamburgers Chocolate Granola

I am: Under 20 20 - 29 30 - 45 46 - 65 Over 65

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Jon Wiederspan
Last Edited: April 26, 1995
Copyright Jon Wiederspan, 1994,1995