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<!DOCTYPE html>
<html>
<head>
<meta content="text/html;charset=UTF-8" http-equiv="Content-Type">
</head>
<body>
<form method="post" action="Âà±µ¦¬ªºPHP¦ì¸m">
±zªº¤j¦W <input name="«È¤á©m¦W" type="text"><br/>
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±zªº¤â¾÷ <input name="«È¤á¤â¾÷" type="text"><br/>
±zªº¹q¤l«H½c <input name="«È¤á¹q¤l«H½c" type="text"><br/>
±z·Q¤ÏÀ³ªºª¬ªp¡A«Øij¡A©Î¿Ô¸ß¨Æ¶µ <textarea name="«È¤á¤ÏÀ³¤º®e"></textarea><br/>
<input name="backurl" value="¶Ç°eªººô§}" type="hidden"><br/>
<input name="lang" value="zh-TW" type="hidden"><br/>
<input name="submit" value="°e¥X" type="submit"><br/>
</form>
</body>
</html>

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