<form name="input" action="formaction.php"
method="post">
Username:
<input type="text" name="user">
<br>
Lives with:
<select name="lives">
<option value="mom">mom</option>
<option value="dad">dad</option>
<option value="sister">sister</option>
<option value="brother">brother</option>
</select>
<br>
<textarea rows="10" cols="30">
My story
</textarea>
<br>
<input type="submit" value="Submit">
</form>
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