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"dynamic" html page help

So I have an html form and am using Perl Builder 2.0 to create a script to gather user-entered information and create a dynamic html page that will update in “realtime”. It’s asking me for an html page that will serve as a model for the results. I need to know how to create this model. I realize that somwhere I’ll need to put field names (i.e. $email, $name, etc.) But I just don’t know how to code an html page to do this…. anyone?

Thanks,

Caleb

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@JonaMay 19.2003 — [b][font=arial][color=maroon]It just wants you to make a page, something like:[/b][/font][/color]

blah blah, company name, logo, title, etc., and your normal template/look of the site.

Name: $name

Age: $age

Gender: $gender

[b][font=arial][color=maroon]Etc. Just code it in HTML. Simple. ?[/b][/font][/color]
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