<form method=”post” action=”https://somethingforyou.com/ar/subcpt.php” enctype=”multipart/form-data”><table width=”50%”>
<INPUT TYPE=”hidden” name=”aid” value=”41″>
<INPUT TYPE=”hidden” name=”required” value=”lemail,lfname”>
<INPUT TYPE=”hidden” name=”filledfrm” value=”mysite.htm”>
<tr>
<td><font size=”4″ face=”Arial, Helvetica, sans-serif”>First Name:<br>
<input type=”text” name=”lfname” size=”30″></font></td>
</tr><tr>
<td><font size=”4″ face=”Arial, Helvetica, sans-serif”>E-Mail Address:<br>
<input name=”lemail” type=”text” size=”30″></font></td>
</tr><tr><td align=”left” valign=”top”><INPUT TYPE=”HIDDEN” name=”EMAILN” value=”Y”>
<BR><BR>
<img src=”https://somethingforyou.com/ar/includes/CaptchaSecurityImages.php” alt=”” /><br>
<font size=”4″ face=”Arial, Helvetica, sans-serif”>Answer For Above:<br>
<input id=”security_code” name=”security_code” type=”text”/>
<br><br><input name=”submit” type=”submit” size=”30″ value=”Subscribe”>
</td>
</tr>
</table>
</form>
