<form method="post" action="http://www.gogvo.com/subscribe.php"> <input type="hidden" name="CampaignCode" value="fbd019a266f9" /> <input type="hidden" name="FormId" value="114517" /> <input type="hidden" name="AffiliateName" value="MarekGrabowski" /> <table align="center"> <tr> <td>Imię:</td><td><input type="text" name="FullName" /></td> </tr> <tr> <td>Email:</td><td><input type="text" name="Email" /></td> </tr> <tr> <td align="center" colspan="2"> <input type="submit" value="Tak, zapisz mnie" /></td> </tr> </table> <img src="http://www.gogvo.com/show_form.php?id=114517" /> </form>