Clickatell Integration & Form

Clickatell Integration & Form
I want a php form integrated with my clickatell gateway api that has the following:

Sender # or ID :

Receiver # box : [can send for more than 1 number] and I want to have a phonebook that I can save the details in and then import them to the receiver box.

Message box : [Can be in any language] [Preferred English and Arabic]

and I want it to look professional and smooth

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