Q1.   Please enter the following: Author First Name, Last Name  <br/><b>First Name:</b><input type="text" name="fname" value="Nicole" size="40" /><br/> <br />
                <b>Last Name:</b> <input type="text" name="lname" value="Smith" size="40" /> <br/><br />Q2.   Please enter the following: Author Email  <br/> Email:<input type="text" name="email" value="nclfree3@yahoo.com" size="40" /><br/>  <br />Q3.  Books are subject to review before final approval is given. Please list your titles below that you wish to bring to the CBLR Book Fair:  <br/>
                    <textarea rows="3" name="3" cols="50" style="margin-right: 40px; vertical-align: middle;">1. "Opened Palms" -Waiting on God
2. "Dear Abba, Father"- Prayer
3. "Passion Fruit"- Our Passions and Desires</textarea>
        <br /><br />Q4. ONLY titles that are FREE of profanity and graphic sexual scenes can be sold at the CBLR Book Fair. Do you attest that the books you listed meet this standard?  <br/><input type="radio" id="3106" value="3106" name="4" checked="checked"> <label for="3106"> Yes </label><br />
    <input type="radio" id="3107" value="3107" name="4" checked=""> <label for="3107"> No </label><br />
    <br />Q5. Furthermore, if the Bible considers an act SIN (such as: lying, cheating, homosexuality, abortion and so on) then the books sold at the CBLR must agree with the written word of God (the Bible) or they cannot be sold at the CBLR.  Do the books listed meet this standard?  <br/><input type="radio" id="3108" value="3108" name="5" checked="checked"> <label for="3108"> Yes </label><br />
    <input type="radio" id="3109" value="3109" name="5" checked=""> <label for="3109"> No </label><br />
    <br />Q6. Do you do certify that the titles you will sell at the Christian Book Lover’s Retreat do not contain profanity, explicit sexual scenes and that each book sold lines up with the written word of God (the Bible).  <br/><input type="radio" id="3110" value="3110" name="6" checked="checked"> <label for="3110"> Yes </label><br />
    <input type="radio" id="3111" value="3111" name="6" checked=""> <label for="3111"> No </label><br />
    <br />Q7. Do not mark. Internal Use Only: Title Approval Code:  <br/> <input type="text" name="7" value="Input" size="40" /><br/>
      <br />Q8. Do not mark. Internal Use Only: Comments:  <br/>
                    <textarea rows="3" name="8" cols="50" style="margin-right: 40px; vertical-align: middle;">Input</textarea>
        <br /><br />