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Adding Address to Url via form?

I would like to have a page on my site which would allow user to add two pc’s of information, which would be then added to existing url and take them to that particular page?

Is there an easy form for this or is it a custom coding problem?

Thanks for help

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@cfajohnsonSep 27.2009 — Do you mean something like this:

[code=html]
<form action="http://validator.w3.org/check?" method="GET" >
<p>
<label>URL:</label>
<input type=text size="30" name="uri" value="http://">
<input type="submit" value=" Validate " class="button">
</p>
</form>
[/code]


See it in action at: http://cfajohnson.com/webdesign/selection/ (the page is still under construction and has no styling applied yet).
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