Форма для ввода адреса

Array
(
    [UNIQUE_ID] => Zm3_JUJEGOpwAljWOoBI5AAAABU
    [SCRIPT_URL] => /test.php
    [SCRIPT_URI] => http://gusto-ufa.ru/test.php
    [HTTP_CGI_AUTHORIZATION] => 
    [HTTP_HTTPS] => on
    [HTTP_X_FORWARDED_PORT] => 443
    [HTTP_X_FORWARDED_PROTO] => https
    [HTTP_X_SECURITY] => on
    [HTTP_HOST] => gusto-ufa.ru
    [HTTP_USER_AGENT] => CCBot/2.0 (https://commoncrawl.org/faq/)
    [HTTP_ACCEPT] => text/html,application/xhtml+xml,application/xml;q=0.9,*/*;q=0.8
    [HTTP_ACCEPT_LANGUAGE] => en-US,en;q=0.5
    [HTTP_IF_MODIFIED_SINCE] => Tue, 06 Jun 2023 20:15:04 GMT
    [PATH] => /bin:/sbin:/bin:/sbin:/usr/bin:/usr/sbin:/usr/bin:/usr/sbin:/usr/local/bin:/usr/local/sbin:/opt/bin
    [SERVER_SIGNATURE] => 
Apache/2.4.59 (Gentoo) mod_dp/0.99.9 PHP/8.0.30 Server at gusto-ufa.ru Port 80
[SERVER_SOFTWARE] => Apache/2.4.59 (Gentoo) mod_dp/0.99.9 PHP/8.0.30 [SERVER_NAME] => gusto-ufa.ru [SERVER_ADDR] => 127.0.0.1 [SERVER_PORT] => 80 [REMOTE_ADDR] => 44.220.44.148 [DOCUMENT_ROOT] => /home/p/palermo7li/public_html [REQUEST_SCHEME] => http [CONTEXT_PREFIX] => [CONTEXT_DOCUMENT_ROOT] => /home/p/palermo7li/public_html [SERVER_ADMIN] => support@sweb.ru [SCRIPT_FILENAME] => /home/p/palermo7li/public_html/test.php [REMOTE_PORT] => 52362 [GATEWAY_INTERFACE] => CGI/1.1 [SERVER_PROTOCOL] => HTTP/1.1 [REQUEST_METHOD] => GET [QUERY_STRING] => [REQUEST_URI] => /test.php [SCRIPT_NAME] => /test.php [PHP_SELF] => /test.php [REQUEST_TIME_FLOAT] => 1718484773.0326 [REQUEST_TIME] => 1718484773 )