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Achim D. Brucker 2019-07-20 12:02:05 +01:00
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\documentclass{article}
\usepackage{hyperref}
\begin{document}
\begin{Form}[action={http://your-web-server.com/path/receiveform.cgi}]
\begin{tabular}{l}
\TextField{From } \\\\
\TextField{have 1} \\\\
\TextField{have 2} \\\\
\TextField{have 3} \\\\
\TextField{finally show} \\\\
\CheckBox[width=1em]{Has the polynomial as many solutions as its degree ? } \\\\
\Submit{Submit}\\
\end{tabular}
\end{Form}
\end{document}