A Form to Remember!
A Library book order form that remembers your personal information.
Enter Name:
*
Enter Address:
*
Enter State:
*     Zip:
*
Enter Full e-mail:
*
Enter all interests that apply:
* Sports
* Reading
* Computers
* Other
Enter your favorite news source: (
None)
* Radio
* Television
* Newspaper
* Internet
Enter all your favorite authors:
&
Enter your preferred genre:
Melville
Fitzgerald
Dickens
Wells
Tolstoy
Cooper
McCarthy
Vonnegurt
Updike
Smiley
Chekhov
Oates
*     
Roman á Clef
Anti-novel
Science Fiction
Mystery
Historical Novel
Saga
Short Story
Fable
Biography
*
Tell us about your interests:
*
Enter Book order: (Title, Author, anything you know)
Settings will expire on:
(Do NOT edit.) Field set by Form.
Submit this form. (Save fields & E-mail to address above):
Maintenance Functions (Not all needed for most forms).
Provided for instruction and playing.