<form action="http://domen.ru" method="Post">
<table cellpadding="5" cellspacing="0" border="0" align="center">
<tr><td>Логин</td><td><input type="Text" name="http_username"></td></tr>
<tr><td>Пароль</td><td><input type="Text" name="http_password"></td></tr>
<tr><td>Телефоны</td><td><textarea cols="45" rows="5" name="Phone_list"></textarea></td></tr>
<tr><td>Сообщение</td><td><textarea rows="4" name="Message" cols="45" WRAP="soft"></textarea></td></tr>
<tr><td colspan="2" align="center"><input type="Submit" value="отправка смс"></td></tr>		
</table>
</form>