Test for Manuel Lemos' PHP form class


Form class test
E-mail address:
mlemos@acm.org
Credit card number:
00000000000000000
Credit card type:
Unknown
Personal name:
Manuel Lemos
Age:
20
Weight:
80
Home page:
http://www.ManuelLemos.net/
Access name:
MLEMOS
Password:
********
Confirm password:
********
Password reminder:
the one
Interests:
Other
When approved, receive notification by:
E-mail:
[X]
Phone:
Subscription type:
Administrator:
[X]
User:
Guest:

Agree with the terms:
Yes