<FORM ACTION="http://www.thinmail.com/cgi-bin/callback" ENCTYPE="x-www-form-urlencoded" METHOD="POST">
NAME <INPUT NAME="name" TYPE="text" SIZE="20" MAXLENGTH="40"> 
PHONE<INPUT NAME="phone" TYPE="text" SIZE="12" MAXLENGTH="12">
<INPUT TYPE="hidden" NAME="key" VALUE="1234567">
<INPUT NAME="submit" TYPE="submit" VALUE="Callback">
</FORM>