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my $tainted_selection = $q->param( 'Selection' ) || ''; # select
my $tainted_urbanization = $q->param( 'urbanization' ) || ''; # hidden
...
my $tainted_state = $q->param( 'state' ) || ''; # select
my $tainted_zipcode = $q->param( 'zipcode' ) || ''; # text
my $tainted_submit = $q->param( 'Submit' ) || ''; # image