"dynamic" html page help

[chs22]

So I have an html form and am using Perl Builder 2.0 to create a script to gather user-entered information and create a dynamic html page that will update in "realtime". It's asking me for an html page that will serve as a model for the results. I need to know how to create this model. I realize that somwhere I'll need to put field names (i.e. $email, $name, etc.) But I just don't know how to code an html page to do this.... anyone?

Thanks,

Caleb

[Jona]

It just wants you to make a page, something like:

blah blah, company name, logo, title, etc., and your normal template/look of the site.

Name: $name

Age: $age

Gender: $gender

Etc. Just code it in HTML. Simple. ;)