<CENTER>
<form action="http://www.bravenet.com/emailfwd/senddata.asp" method="POST">
<INPUT type=hidden name=userid value=xw11094>
</CENTER>
<CENTER><TABLE BORDER=5 BGCOLOR="#008080" CELLPADDING=7> 
<TR><TD>
<CENTER><B><FONT COLOR="#FFFF00"><FONT SIZE=+1>Filling out the form below</FONT></FONT></B></CENTER>
<CENTER><B><FONT COLOR="#FFFF00"><FONT SIZE=+1>will send e-mail directly
to us!</FONT></FONT></B></CENTER>
</TD></TR><TR><TD>
<B>What's your name?</B>
<BR><INPUT TYPE=TEXT NAME=name SIZE=40>
<BR><B>Where are you from?</B>
<BR><INPUT TYPE=TEXT NAME=where SIZE=40>
<BR><B>Your e-mail address?</B>
<BR><INPUT TYPE=TEXT NAME=replyemail SIZE=40>

<P><B>Are you a STU's member?</B>
<BR><INPUT type=radio name="member" checked value="yes">Yes.
<BR><INPUT type=radio name="member" value="no">No.
<BR><INPUT type=radio name="member" value="intend">Intend to join.

<P><B>Check the course you want to join, uncheck the ones you don't:</B>
<BR><INPUT type=checkbox checked name="msword" value="yes">MS Word
<BR><INPUT type=checkbox name="msexcel" value="yes">MS Excel
<BR><INPUT type=checkbox checked name="powerpoint" value="yes">Powerpoint
<BR><INPUT type=checkbox name="internet" value="yes">Internet
<BR><INPUT type=checkbox name="chinese" value="yes">Chinese WP

<P><B>Select your favorite color:</B>
<BR><SELECT name="fav_color" size=3>
<OPTION selected value="red">Red</OPTION>
<OPTION value="blue">Blue</OPTION>
<OPTION value="green">Green</OPTION>
<OPTION value="purple">Purple</OPTION>
<OPTION value="black">Black</OPTION>
<OPTION value="yellow">Yellow</OPTION>
<OPTION value="pink">Pink</OPTION></SELECT>

<P><B>Your Comments Please?</B>
<BR><TEXTAREA WRAP=VIRTUAL NAME="comments"
 COLS=40 ROWS=5>I really like Bravenet Web Services.</TEXTAREA>

</TD></TR><TR><TD ALIGN=CENTER>
<A HREF="http://www.bravenet.com/">
<IMG SRC="http://www.bravenet.com/brpic/formbutt.gif" HEIGHT=35 WIDTH=100 border=0>
</A><BR><INPUT  type=submit name="submit" value="Away We Go!">&nbsp;
<INPUT type=reset  name="reset" value="Start Again"></FORM></TD>
</TR></TABLE></CENTER>