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Requesting permission for location with a pop up window / using javascript code / then submiting it within a form

This code works perfect, although its accuracy aint 100% but good enough for now. i cant find a way to bring the results of this code into either php or in a html form.

And i need permission from the person arriving for their location.

How can i bring upon a pop up window using this code and then submiting the results to a html form so i can use:

$_POST["state"];

var country = document.getElementById('country');
    var state = document.getElementById('state');
    var city = document.getElementById('city');
    var postal = document.getElementById('postal');
    var latitude = document.getElementById('latitude');
    var longitude = document.getElementById('longitude');
    var ip = document.getElementById('ipv4');

    function callback(data)
    {
        country.innerHTML = data.country_name;
        state.innerHTML = data.state;
        city.innerHTML = data.city;
        postal.innerHTML = data.postal;
        latitude.innerHTML = data.latitude;
        longitude.innerHTML = data.longitude;
        ip.innerHTML = data.IPv4;
    }

    var script = document.createElement('script');
    script.type = 'text/javascript';
    script.src = 'https://geolocation-db.com/json/geoip.php?jsonp=callback';
    var h = document.getElementsByTagName('script')[0];
    h.parentNode.insertBefore(script, h);
about 4 years ago · Juan Pablo Isaza
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