I think I'm putting the right path, heres the html
<HTML>
<HEAD>
<TITLE>Subscribe to Martin C. Design Forums</TITLE>
</HEAD>
<BODY BGCOLOR="#ffffff">
<CENTER>
<TABLE BORDER="0" CELLPADDING="2" ALIGN="Center">
<TR>
<TD BGCOLOR="blue"><P ALIGN=Center>
<FONT face="Verdana,Helvetica" SIZE="3" color="orange">
<B>Subscribe to Claim Your FREE Gift and more information on computer programing and graphics</B></FONT>
</TD>
</TR>
<TR>
<TD><B><FONT face="Verdana,Helvetica" SIZE="3" color="orange"><BR>
Subscribe to Martin C. Design Forums to recieve more information
on computer programing and graphics. <FONT color=
"blue">ALL new subscribers will receive 5 free icons.
</FONT></FONT></B><BR>
<img src="icons1/mclogo1-1.jpg" alt="mclogo1-1"><br>
<BR>
<FORM METHOD="POST" ACTION="YOURFORM.cgi">
<CENTER>
<TABLE BORDER="0" CELLPADDING="2" ALIGN="Center">
<TR VALIGN="Top">
<TD>
<INPUT type="text" name="email" value="type in your email"
size="20" onfocus="value=''">
<INPUT TYPE="submit" VALUE="Subscribe"></TD>
</TR>
</TABLE>
</CENTER>
</FORM>
<P ALIGN=Center>
<BR>
<A HREF="javascript: self.close()"><FONT face="Verdana,
Helvetica" SIZE="2">Close Window</FONT></A><BR>
</TD>
</TR>
</TABLE>
</CENTER>
</BODY>
</HTML>
P.S. there is no actaual Martin C. Design forums and also this is not completely made by me, it is a code that I copied of the internet and added some stuff to it and edited it.