Make your own free website on Tripod.com

YOUR RESPONSE PLEASE

UNIQUE RESOURCE CENTER FOR STUDENTS &TEACHEARS

Filling out the form below
will send e-mail directly to me!
What's your name?

Where are you from?

Your e-mail address?

How much you study at home per day?
2 to 3 hours.
3 to 4 hours.
4 to 5 hours.
5 to 6 hours.

How much do you play per day?
0 to 0.5 hours.
0.5 to 1 hours.
1 to 2 hours.
2 to 3 hours.

Check the fruit you eat, uncheck the ones you don't:
Bananas
Oranges
Apples
Grapes
Peaches

Select your favorite passtime:

Your Comments Please?


 

GET YOUR EMAIL AT  1.HOTMAIL 2.NETADDRESS  3.NETSCAPE 
GET FREE SPACE AT   1.TRIPOD  2.FREESERVER  3.FORTUNECITY