<html><body></p><font color="cyan"><hr size="2" align="left" color="white"/><br/><form action=" http://your.destination.URL " method="post"> name: <br/><input type="text" name="name" value=""/><br/>message: <br><input type="text" name="message" value=""/><input type="submit" name="submit" value="send"/><br/></form></body></html>