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Are you asking how you post it? Or how do you access it on the next page or what?
mysql_function(): WARNING: This extension is deprecated as of PHP 5.5.0, and will be removed in the future. Instead, the MySQLi or PDO_MySQLextension should be used. See also MySQL: choosing an API guide and related FAQ for more information.
You need to include the form fields inside a <form> tag, to actually have a working form watch the -> action="anotherpage.php" <- witch actually informs the browser where to post the data inside the form. Rename it to what to receiving page is. Note also a new button entry, the "Submit". This will be the button which will actually post the form to the "action" page.