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.
You can change the layout and design just don't modify the form and form elements.

<table width="180" border="1" cellspacing="0" cellpadding="0" align="center">
<form name="proautoresponder" method="post" action="http://www.ProAutoResponder.com/autosubscribe.htm">
<input type="hidden" name="campaign" value="prospects">
<input type="hidden" name="account" value="weblord">
<input type="hidden" name="success" value="http://www.nabaza.com/sites.htm">
<input type="hidden" name="failure" value="http://www.nabaza.com/sites.htm">
<input type="hidden" name="alreadyin" value="http://www.nabaza.com/sites.htm">
<input type="hidden" name="adcode" value="william@nabaza.com">
<tr>
<td valign="top" align="center">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td bgcolor="#CCCCCC">
<div align="center"><b><font color="#0000CC" face="Arial, Helvetica, sans-serif" size="2">Subscribe
Below For <br>
More Information</font><font color="#0000CC">!</font></b></div>
</td>
</tr>
<tr>
<td>
<div align="center"> </div>
</td>
</tr>
<tr>
<td>
<div align="center"><b> <font face="Verdana, Arial, Helvetica, sans-serif" size="2">First
Name</font></b><br>
<input type="text" name="firstname" size="16">
</div>
</td>
</tr>
<tr>
<td>
<div align="center"><b> <font face="Verdana, Arial, Helvetica, sans-serif" size="2">Last
Name</font></b><br>
<input type="text" name="lastname" size="16">
</div>
</td>
</tr>
<tr>
<td>
<div align="center"><b> <font face="Verdana, Arial, Helvetica, sans-serif" size="2">Email
Address</font></b><br>
<input type="text" name="email" size="20">
</div>
</td>
</tr>
<tr>
<td>
<div align="center"> </div>
</td>
</tr>
<tr>
<td>
<div align="center"><font size="2"> <font face="Verdana, Arial, Helvetica, sans-serif">
<input type="radio" name="mode" value="subscribe" checked>
Subscribe<br>
<input type="radio" name="mode" value="unsubscribe">
Unsubscribe</font></font></div>
</td>
</tr>
<tr>
<td>
<div align="center"> </div>
</td>
</tr>
<tr>
<td>
<div align="center">
<input type="submit" name="Submit" value="Send Info!">
<br>
<a href="http://nabaza.com" target="_blank"><img src="http://www.ProAutoResponder.com/Images/pwp.gif" width="105" height="36" border="0" alt="ProAutoResponder.com"></a>
</div>
</td>
</tr>
</table>
</td>
</tr>
</form>
</table>

Testimonials:

Leo Milner:
His service is the very best and his work is perfect. Unlike a lot of webmasters who do script work Mr. Nabaza is friendly and very honest and his prices are the best to. In all my years of working on the Internet I have never met anyone who was as good or friendly.