<html>
<body>
<h1>BWW Survey Form<h1>
<FORM METHOD=POST ACTION="http:
//www.bowenwang.com.cn/cgi-bin/survey.cgi">
Enter Your Name:
<input name="Name" size=20 maxlength=50>
<P>Enter your sex:
<input type=radio CHECKED name=sex value=MALE>Male
<input type=radio name=sex value=FEMALE>Female
<P>Select your age<br>
<SELECT size=2 NAME=age>
<OPTION> 1-10
<OPTION> 11-20
<OPTION> 21-30
<OPTION> 31-40
<OPTION> 41-50
<OPTION> 51-60
<OPTION> 61 and up
</SELECT>
<P>Enter Your Comment:
<input name="Name" size=40 maxlength=100>
<P>
<INPUT TYPE=submit value="Submit">
<INPUT TYPE=reset value="Reset">
</FORM>
</body>
</html>
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