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<!DOCTYPE html>

<html>

<head>

<title>Child Cost Estimator</title>

</head>

<body>

<h1>Child Cost Estimator</h1>

<form action="/estimate" method="post">

<input type="text" name="location" placeholder="Location">

<input type="text" name="income" placeholder="Income">

<input type="text" name="family_size" placeholder="Family Size">

<input type="submit" value="Estimate">

</form>

</body>

</html>