Widget Request Form

Widget Services supplies widgets only to registered students, faculty and staff of Foobar University. Please print and sign this form and bring it to Room 101 between the hours of 1-2 pm Monday through Wednesday.

Personal info:
             Name: J. Doe
       Department: Nanunanutechnology
            Phone: x9999

Widget info:
     Widget shape: Round
     Widget color: red


Widget options:
      Pinstriping: 
            Turbo: yes
           DeLuxe: 

Additional features:

Cup holders.

Signature: ________________________________________  Date: ________________

http://riceinfo.rice.edu/sw/printform/ex1in.html Tue Oct 14 15:24:49 CDT 1997 (printform)