It seems odd that you can program a database but not a html form?
<?php
if($submit)
{
$dbhost = "localhost";
$dbuser = "root";
$dbpass = "";
$dbname = "dbase name";
$db = mysql_connect($dbhost,$dbuser,$dbpass);
mysql_select_db("$dbname",$db);
mysql_query("INSERT INTO $dbtable (name,address,country,etc) VALUES ('$name','$address','$country')");
print ("nice message");
}
else
{
print ("<form action='$PHP_SELF' method='post'>");
print ("<input type='text' name='name'><br>");
print ("<input type='text' name='address'><br>");
print ("<input type='text' name='country'><br>");
//blah blah
print ("<input type='submit' name='submit' value='Submit'>");
print ("</form>");
}
?>
HTH
scott d~