Form Manager Interview

### Enter your Form Manager Information here Form Manager is a feature that can pre-fill forms for you using information that you previously typed in. It can save you time when you do such things as register at websites or make on-line purchases. This is an interview form. Use it to enter as much or as little information about yourself as you like. Then select Save Form Data from the EDIT menu and the information will be stored on your computer. When visiting this or any other form in the future, simply select Prefill Form from the EDIT menu and the information will be prefilled for you automatically. If you chose not to enter the information now, you can always do so later when you encounter an actual form that you will want to submit. Simply fill in the information on the form and then select Save Form Data before submitting the form. To see what information you have already saved, select view captured form data from the FORM MANAGER submenu. I. Name, Home Address, and Phone Numbers Name
prefix (e.g., Dr., Mr., Mrs): |
first Name: |
middle Name: |
last Name: |
suffix (e.g., Jr., III): |
nickname: |
Address
address Line 1: |
address Line 2: |
address Line 3: |
city: |
state (U.S.): |
province (Canada) |
zip code: | -
country: |
e-mail: |
homepage: |
Phone Numbers
| country code | area code plus number | extension
day Phone Number: |  | () - |
Evening Phone Number: |  | () - |
fax Number: |  | () - |
mobile Number: |  | () - |
pager Number: |  | () - |
Click here when you are ready to this information. II. Business Name, Address, and Phone Numbers Click if business address/phone is home address/phone. Business Name and Address
company Name: |
job Title: |
department: |
address Line 1: |
address Line 2: |
address Line 3: |
city: |
state (U.S.): |
province (Canada) |
zip code: | -
country: |
e-mail: |
homepage: |
Business Phone Numbers
| country code | area code plus number | extension
day Phone Number: |  | () - |
evening Phone Number: |  | () - |
fax Number: |  | () - |
mobile Number: |  | () - |
pager Number: |  | () - |
Click here when you are ready to this information. III. Credit Card Information
type of Card: |
card Number: |
expiration | mo: yr:
name on Card: |
Click here when you are ready to this information. IV. Billing Information Click here to bill to Click here to bill to Otherwise fill out information below Bill To
prefix (e.g., Dr., Mr., Mrs): |
first Name: |
middle Name: |
last Name: |
suffix (e.g., Jr., III): |
nickname: |
Billing Address
company Name: |
address Line 1: |
address Line 2: |
address Line 3: |
city: |
state (U.S.): |
province (Canada) |
zip code: | -
country: |
e-mail: |
homepage: |
Billing Phone Numbers
| country code | area code plus number | extension
day Phone Number: |  | () - |
evening Phone Number: |  | () - |
fax Number: |  | () - |
mobile Number: |  | () - |
pager Number: |  | () - |
Click here when you are ready to this information. V. Shipping Information Click here to ship to Click here to ship to Otherwise fill out information below Ship To
prefix (e.g., Dr., Mr., Mrs): |
first Name: |
middle Name: |
last Name: |
suffix (e.g., Jr., III): |
nickname: |
Shipping Address
company Name: |
address Line 1: |
address Line 2: |
address Line 3: |
city: |
state (U.S.): |
province (Canada) |
zip code: | -
country: |
e-mail: |
homepage: |
Shipping Phone Numbers
| country code | area code plus number | extension
day Phone Number: |  | () - |
evening Phone Number: |  | () - |
fax Number: |  | () - |
mobile Number: |  | () - |
pager Number: |  | () - |
Click here when you are ready to this information. VI. Personal Information Identification
social Security Number: | - -
driver's License Number: | state
mother's Maiden Name: |
Dates (mm/dd/yyyy)
birthday: | - -
anniversary: | - -
Click here when you are ready to this information. VII. Spouse/Partner Name of Spouse/Partner
prefix (e.g., Dr., Mr., Mrs): |
first Name: |
middle Name: |
last Name: |
suffix (e.g., Jr., III): |
nickname: |
Address of Spouse/Partner
address Line 1: |
address Line 2: |
address Line 3: |
city: |
state (U.S.): |
province (Canada) |
zip code: | -
country: |
e-mail: |
homepage: |
Phone Numbers of Spouse/Partner
| country code | area code plus number | extension
day Phone Number: |  | () - |
evening Phone Number: |  | () - |
fax Number: |  | () - |
mobile Number: |  | () - |
pager Number: |  | () - |
Business Name and Address of Spouse/Partner Click if business address is home address.
company Name: |
job Title: |
department: |
address Line 1: |
address Line 2: |
address Line 3: |
city: |
state (U.S.): |
province (Canada) |
zip code: | -
country: |
e-mail: |
homepage: |
Business Phone Numbers of Spouse/Partner
| country code | area code plus number | extension
day Phone Number: |  | () - |
evening Phone Number: |  | () - |
fax Number: |  | () - |
mobile Number: |  | () - |
pager Number: |  | ()- |
Identification of Spouse/Partner
social Security Number: | - -
driver's License Number: | state
mother's Maiden Name: |
Important Dates of Spouse/Partner (mm/dd/yyyy)
birthday: | - -
anniversary: | - -
Click here when you are ready to this information. VIII. Demonstration of Form Filling Pick one of these then select Prefill Form Data from the EDIT menu.