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#377623
<html> <head> <title>Guestbook</title> </head> <body> <center> <form action="<?php echo $_SERVER[PHP_SELF]; ?>" method="post"><table width="250"> <th> <td></td> <td></td> </th> <tr> <td>Name:</td> <td><input type="text" name="txt_name"></td> </tr> <tr> <td>Email:</td> <td><input type="text" name="txt_email"></td> </tr> <tr> <td>Comments:</td> <td><textarea name="text_comment" rows="4"></textarea></td> </tr> <tr> <td></td> <td align="right"><input type="submit" name="submit"></td> </tr></table></form> </center> </body> </html>