18 lines
		
	
	
		
			727 B
		
	
	
	
		
			PHP
		
	
	
	
	
	
			
		
		
	
	
			18 lines
		
	
	
		
			727 B
		
	
	
	
		
			PHP
		
	
	
	
	
	
<?php
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$form = '<form action="'.htmlspecialchars($_SERVER["PHP_SELF"]).'" method="post">';
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	$form .='
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	<input type = hidden name="ac" value = "user_save">
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	<input type = hidden name="user_ID" value = "">';
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	$form .= 'Name: <input type="text" name="name" value=""><br>';
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	$form .= 'E-Mail: <input type="text" name="email" value=""><br>';
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	$form .= 'Signal: <input type="text" name="signalmessenger" value=""><br>';
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	$form .= 'SMS: <input type="text" name="sms" value=""><br>';
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	$form .= 'Telegram: <input type="text" name="telegram" value=""><br>';
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	$form .= 'Threema: <input type="text" name="threema" value=""><br>';
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	$form .= '
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	<input type="submit" value="Send">
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	<input type="reset" value="Reset";
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	</form>';
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echo $form;
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?>
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