[% USE HTML %]<form method="post" action="ct.pl">

 <input name="callback" type="hidden" value="[% HTML.escape(callback) %]">
 <input name="db" type="hidden" value="[% HTML.escape(db) %]">

 [% IF IS_CUSTOMER %]Neuer Kunde[% ELSE %]Neuer Lieferant[% END %]<br>

 <input class="submit" type="submit" name="action" value="Erfassen">

</form>