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PERL:

...
   </select><br />
   <input type="submit">
</form>

my $fvalues = $q -> Vars;
my $name = "Mr.". $q->param('name');  #alter one of them
...
my $template = HTML::Template->new( filename => "../form.tmpl");
$template->param( name = $name );
my $html = $template->output;

my $fvalues = { address => '123 Main Street', choice => '2' };
#BTW, if the form tag is select with multiple attribute, use a referen
+ce to an array of the values:
...
my $template = HTML::Template->new( filename => "../form.tmpl");
$template->param( name = $name );
my $html = $template->output;