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Text File  |  2002-11-17  |  392 b   |  11 lines
  1. <!-- Action must be changed to suit your script and server path. Change names and values as needed -->
  2. <form method="post" action="/phpbin/yourscript.php">
  3. <fieldset>
  4.    <legend><b>Health information:</b></legend>
  5.    <blockquote>
  6.    Height <input type="text" size="3">
  7.    Weight <input type="text" size="3">
  8.    <input type="submit" value="send">
  9.    </blockquote>
  10. </fieldset>
  11. </form>