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<!DOCTYPE html>
<html>
<body>

<form>
  First name:<br>
  <input type="text" name="firstname" value="Mickey" required>
  <br>
  Last name:<br>
  <input type="text" name="lastname" value="Mouse" required>
  <br><br>
  <input type="submit" value="Submit">
</form>

<p>If you click the "Submit" button, the form-data will be sent to a page called "action_page.php".</p>

</body>
</html>