All of these are optional, but please answer all that you can
Who are ya? (Name): ~NAME~
(From: ~IPADDRESS~ , browsing with ~BROWSER~)
How can I reach ya? (E-Mail Address):~EMAIL~
How old are ya?: ~AGE~ What's yer homepage?:~HOMETITLE~ How'd you find out about my page?: ~REFERENCE~ Where are ya from?: ~LOCATION~ Date: ~DATE~ Who's yer favorite Simpsons character?: ~CHARACTERS~ Any suggestions?: ~SUGGESTIONS~