Bearly Computing Information Return Form

Just a sample of a "Tell us what you think" form that will return the information back to Bearly Computing after you fill out the form and hit the "Submit" button...
(bold items must be filled in!)

Please enter the subject of your submission :
Please enter your name : 
Please enter your email address so we can get back to you :
Do you like our web site?  yes    no    don't care
Would you rather have buttons? yes    no   don't care
How about a list box?
Would you be insterested in a site search or mailing list? 
  (hold down control key to select multiple items)
Are you interested in a web site hosted by Bearly Computing? yes    no    maybe

If that's not enough, how about you type in some text to tell us what you think?
    

Thanks for taking the time to try out the form. Just hit the submit button below and you will see the results of your input and be able to go back to the main page.

    Or, to start over hit this button->

 

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