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Create an HTML Form as shown below with the following fields. You are free to design the form as you see fit, but you must

Create an HTML Form as shown below with the following fields. You are free to design the form as you see fit, but you must include all the textboxes, radio buttons, and buttons. Fill free to use whatever formatting and colors you like. Make all the fields required and use an email input for the email textbox and a text area for the Notes box. The rest of the text boxes should be standard text inputs. Create a PHP script that will output the fields entered on the HTML Form. Each field should be displayed and formatted on a separate line (See Screenshot Below). I used a table, but you can use a div or a table, but the form data must be formatted. The php script should run when you click on the submit button. There should be two files: one HTML and one PHP (CSS file is optional). The screenshot is the output.

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