printform test: Widget Request Form

Widget Services supplies widgets only to registered students, faculty and staff of Foobar University. Fill out this form and press "Submit" to receive a printable copy.

Name:           
Department:     
Phone:

Widget shape:

Widget color: Blue Yellow Red

Widget options: Pinstriping Turbo DeLuxe

What additional features would you like to see in a widget?
Select to submit your request.
Select to erase everything in the form.

-- Prentiss Riddle (riddle@rice.edu) 1997.10.14