Please take a moment to look at this form
What is your name?
Why did you come and visit?
Do you visit:
daily?
weekly?
to pick something up?
or to drop something off?
To check in for the day?
To leave messages?
What do you like to do?
�����
Are you often on the net?
Do you have a site?
What is your address?
What would you like to see here?
Did you leave a message?��������yes
��no
������������������������