<?php

	$host = "localhost";

	$username = "root";

	$password = "";

	$database = "database_name";

	$table = "table_name";


	mysql_connect($host, $username, $password) or die();

	$selectDB = mysql_select_db($database);

	$selectTable = mysql_query("SELECT * FROM `" . $table . "`")


	if (!isset($_POST['send'])) { ?>

		<form method="post">

			First Name: <input type="text" value="" name="firstname" /><br />

			Last Name: <input type="text" value="" name="lastname" /><br />

			Age: <input type="text" value="" name="age" /><br />

			<input type="submit" value="Submit" name="send" />

		</form>

	<? } else {

		if (!$selectDB) {

			echo "The database does not exist!";

		} elseif(!$selectTable) {

			mysql_query("CREATE TABLE `" . $table . "` (firstname varchar(25), lastname varchar(25), age int");

			echo "Table not present... creating. Please press back and try again.";

		} else {

			$firstname = $_POST['firstname'];

			$lastname = $_POST['lastname'];

			$age = $_POST['age'];

			mysql_query("INSERT INTO `" . $table . "` (firstname, lastname, age) VALUES(" . $firstname . ", " . $lastname . ", " . $age . ")");

			echo "Successfully inserted data!";

		}

	}

?>