html tag auto insertion

[shagy22]

hello i am needing a script that has input fields that i can type in these variables.
num
link
name
img
info
item
price

it is for my website. i have one certain html code that i use over and over that has the number item on the page it is it is, a link to it, the name of the product, the image link, info about it, the manufact #, and price. i am trying to get a simple form with these 7 variables, so that when i fill them in it automatically generates my code i use over and over, only with the information i typed into the fields in the html coding. here is what i have so far, i could only first get the num portion to work oh and the table stuff is part of my html code that i am trying to insert the variables into.. thanks for any help (by the way this is a free scrip that i was trying to edit. the owner gave full permission.

<SCRIPT LANGUAGE="JavaScript">

<!-- Begin

function MakeIt(form){

var txt='<!- '+form.num.value+' -!>\r\n';

var txt='<td bgcolor=white valign=top class=content>
<table bgcolor=0277ff border=0 width=100% cellpadding=5 cellspacing=5 cellborder=0><tr>
<td bgcolor=white valign=top class=searchHighlight>
<a href="'+form.link.value+'" target=middle>\r\n;

form.source.value=txt;

}

function AddText(form, Action){

var AddTxt="";

var txt="";

form.link.value+=AddTxt;

}

function ResetPage(form){

if(confirm("Do you want to clear all and start a new META-tag Creation?")){

form.description.value="";

form.source.value="";

form.keywords.value="";

}

}

// End -->

</SCRIPT>