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<HTML><HEAD><script type='text/JavaScript' src='scw.js'></script></HEA
+D><BODY>
<FORM action="http://www.e1surveys.com/cgi-bin/testform1.cgi" method="
+POST">
...
<INPUT TYPE="submit" VALUE="Submit" NAME="Submit Button">
<INPUT TYPE="reset" VALUE="Reset" NAME="Reset Button">
</FORM></BODY></HTML>

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#! /usr/bin/perl -wT
use CGI qw(:standard escapeHTML);    
...
end_form ();
print end_html ();
exit (0);