I Wanna Know About YOU !

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If You take this survey, I'll e-mail you some COOL SITES! Also, anything with a * is NOT required to answer.

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1)What's your first name?

*2)What's your last name?

3)What's your e-mail address?

*4)What's your nickname? (NO Special letters)

5)What's your age?

Sex?
Male Female Other Alien Often Yes Please!
*6)What's your address?
*7)What city do you live in?

8)What state are you from?
Alabama Alaska Arizona Arkansas California Colorado Connecticuit D.C. Delaware Florida Georgia Hawaii Idaho Illinios Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missourri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
9)Do you have AOL? Yes No
10)Do you have a webpage? Yes No
if so. . . . type it below.

If so. . . . what's it about.

11)(Last one) What are your interests?
Sports Computers Video Games Collectable Card Games Books Other
If you picked other. . . tell me about it.

(Reset Form)

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THANK YOU!!! Go Back