I don't have any publically available html file yet, but you can use http://teknikill.net/cpan/ . I started by copying and modifying the form from that page. Basically it does the following:

1. Includes a form with a name
2. Loads the ac.js script
3. Configures the script by giving it a reference to the form and the location of the CGI

You may need to make a very minor modification to the ac.js file, because the directory that holds the CGI is hard-coded there.