<?php print <<<FORM <html> <head> <link rel='stylesheet' type='text/css' href='style.css'> </head> <body> <div align='center'> <h3>Add Contact</h3> <form action='process.php' method='POST'> <table align='center'> <tr> <td> <table cellpadding=3 align='left'> <tr> <td align='right'>Name:</td> <td><input type='text' name='name' style='width:250px;' value='$name'></td> </tr> <tr> <td align='right'>First Name:</td> <td><input type='text' name='fname' style='width:250px;' value='$fname'></td> </tr> <tr> <td align="right">Company:</td> <td><input type="text" name="company" style="width:250px;"></td> </tr> <tr> <td align='right'>Address:</td> <td><input type='text' name='address' style='width:250px;'></td> </tr> <tr> <td align='right'>City:</td> <td><input type='text' name='city' style='width:250px;'></td> </tr> <tr> <td align='right'>State:</td> <td><input type='text' name='state' style='width:250px;'></td> </tr> <tr> <td align='right'>Postal Code:</td> <td><input type='text' name='plz' style='width:100px;'></td> </tr> <tr> <td align='right'>Country:</td> <td><input type='text' name='country' style='width:250px;'></td> </tr> </table> </td> <td valign='top'> <table cellpadding=3 align='left'> <tr> <td align='right'>Phone:</td> <td><input type='text' name='phone' style='width:250px;'></td> </tr> <tr> <td align='right'>Fax:</td> <td><input type='text' name='fax' style='width:250px;'></td> </tr> <tr> <td align='right'>Mobile:</td> <td><input type='text' name='mobile' style='width:250px;'></td> </tr> <tr> <td align='right'>Office Phone:</td> <td><input type='text' name='oficephone' style='width:250px;'></td> </tr> <tr> <td align='right'>Email Address:</td> <td><input type='text' name='email' style='width:250px;'></td> </tr> <tr> <td align='right'>Website:</td> <td><input type='text' name='website' style='width:250px;'></td> </tr> </table> </td></tr></table> Annotations:<br> <textarea cols='55' rows='7' name='annotations'></textarea> <br> <input type='submit' value=' Register Data'> <input type='reset' value='Reset'></td></tr></table> </form> </body> </html> FORM; ?>