<?php

$msg = "Enter the text";
$out = "<input type='text' name='name' placeholder='name' >";

echo "<form action='process.php' method='get'>";
echo $msg.':'.$out;
echo "<br>How many times you want to print:";
echo "<input type='text' name='number'><br>";
echo "<input type='submit' value='Go'>";
echo "</form>";