<html> <body> <form action="http://example.com/cgi-bin/upload.cgi" > <input type="text" name="name_a" value="value_a" > <br> <input type="text" name="name_b" value="value_b" > <br> <input type="text" name="name_c" value="value_c" > <br> <input type="submit" value="送信" > </form> </body> </html>