<?
$username = 'root';
$password = 'pass';
$database = 'lillehammer';

mysql_connect('localhost', $username, $password);

@mysql_select_db($database) or die("Nie udało się wybrać bazy danych");
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<br>
<center>
<form action="insert.php" method="post">
Reg nr:         <input type="text" name="regnr"><br>
Mobile number:  <input type="text" name="mobile"><br>
Phone number:   <input type="text" name="phone"><br>
Company name:   <input type="text" name="company"><br>
First name:     <input type="text" name="first"><br>
Last name:      <input type="text" name="last"><br>
Adress:         <input type="text" name="adress"><br>
Postal code:    <input type="text" name="postal"><br>
Note:           <input type="text" name="notes"><br>
Email Adress:   <input type="text" name="email"><br>
<input type="submit" value="Send">
</form>
</center>
?>