Sample Form using FormMail script on webpub

Name:
Street address:
City:
State:
Your email:

Choose one: Email surveys are stupid     Email surveys are great     I have no opinion on email surveys

Check all that apply:

You work at Allegheny
You are a student at Allegheny
You live in Meadville
You're tired of checking boxes

Select at least two items from this list (use the Ctrl key to select multiple items):